EURORAD ESR

Case 877

Multiple Aneurysms of the Splenic Artery

Author(s)
J.M. Parmentier, L. Liesenborghs, Ch. Van Ruyssevelt
 
Patient
female, 50 year(s)
 
 
  • Published 23.02.2001
  • DOI 10.1594/EURORAD/CASE.877
  • Section Cardiovascular
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 7884
  • Language(s)
  • Figure 1
    Ultrasonography of the left hypochondrium

    Ultrasonography of the left hypochondrium shows the presence of an anechoic structure (diameter 25mm) between the left kidney and the tail of the pancreas. The pulsed Doppler ultrasonography demonstrated arterial flow.

     
    Area of Interest: unknown; Imaging Technique: Ultrasonography of the left hypochondrium;
     
     
  • Figure 2
    Selective arteriography of the splenic artery

    Selective arteriography of the splenic artery visualizes three aneurysms: the first one (long arrow) of 10mm in diameter at the proximal part of the splenic artery, the second one (large arrow) and the largest (25...

     
    Area of Interest: unknown; Imaging Technique: Selective arteriography of the splenic artery;
     
     
  • Figure 3
    CT scan of the upper abdomen
     

    On CT scan after intra-arterial injection of diluted contrast medium only the largest aneurysm is clearly demonstrated.

     
    Area of Interest: unknown; Imaging Technique: CT scan of the upper abdomen;

    A 3D reconstruction of the spiral CT scan shows the two extrasplenic aneurysms.

     
    Area of Interest: unknown; Imaging Technique: CT scan of the upper abdomen;
     
     
  • Figure 4
    Post embolization arteriography

    Post embolization arteriography demontrates complete obliteration of the splenic artery.

     
    Area of Interest: unknown; Imaging Technique: Post embolization arteriography;
     
     
Ultrasonography of the left hypochondrium shows the presence of an anechoic structure (diameter 25mm) between the left kidney and the tail of the pancreas. The pulsed Doppler ultrasonography demonstrated arterial flow.
 
Selective arteriography of the splenic artery visualizes three aneurysms: the first one (long arrow) of 10mm in diameter at the proximal part of the splenic artery, the second one (large arrow) and the largest (25 mm) at the distal part of the artery and the third one (arrowhead) located more distally within the spleen.
 
On CT scan after intra-arterial injection of diluted contrast medium only the largest aneurysm is clearly demonstrated.
 
A 3D reconstruction of the spiral CT scan shows the two extrasplenic aneurysms.
 
Post embolization arteriography demontrates complete obliteration of the splenic artery.
 
 
 
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