case_images: PMC9536313_01
case_images: Axial sections from the contrast-enhanced computed tomography (CECT). Black arrow: splenic artery pseudoaneurysm arising from the distal third of the artery. Orange arrow: calcifications within the pancreatic parenchyma.
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case_images: He also had a history of hematemesis for which he was evaluated with triphasic abdominal contrast-enhanced computed tomography (CECT) (Figure 1).
case_images: Digital subtraction angiography showing the pseudoaneurysm along with its feeding vessels, which were identified and coil embolized.
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case_images: The splenic artery pseudoaneurysm was identified and a total of three coils were used for embolization (2 coils proximally and 1 coil distally) and no stents were used (Figure 2).
case_images: Post coil embolization abdominal CECT showed a giant splenic artery pseudoaneurysm which was still active. Black arrow: giant pseudoaneurysm. Orange arrow: calcifications.
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case_images: His abdominal CECT showed a giant splenic artery pseudoaneurysm with calcifications in the pancreatic parenchyma (Figure 3).
case_images: Intraoperative image showing a thrombosed SAP sac, which was opened, and clots were evacuated.
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case_images: After obtaining supraceliac aorta control, we directly opened the sac and an arterial spurt was identified and ligated (Figure 4).
case_images: Intraoperative image showing the thrombosed splenic vein, which was identified and ligated.
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case_images: Since the splenic vein was thrombosed, it was identified and ligated (Figure 5), followed by splenectomy.