Giant Splenic Artery Pseudoaneurysm Presenting with Acute Kidney Injury
- Author:
Ji Hyeon PARK
1
;
Limhwa SONG
;
Byung Woo JHUN
;
Hyun Ae JUNG
;
Hye Ryoun JANG
;
Ha Young OH
;
Yoon Goo KIM
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pseudoaneurysm;
Acute kidney injury;
Endocarditis
- MeSH:
Acute Kidney Injury;
Aneurysm;
Aneurysm, False;
Early Diagnosis;
Endocarditis;
Humans;
Pancreatectomy;
Rupture;
Splenectomy;
Splenic Artery
- From:Korean Journal of Medicine
2012;82(1):100-104
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Splenic artery pseudoaneurysm is a rare, but potentially lethal, vascular lesion. The mortality rate may be 75-90%, if the aneurysm ruptures. The risk for rupture of an untreated splenic artery pseudoaneurysm is about 37%. Hence, early diagnosis and prompt surgical intervention are vital to improve survival. However, vague symptoms make early diagnosis difficult. We report here a case of a giant splenic artery pseudoaneurysm presenting with acute kidney injury. The patient had been treated previously for infective endocarditis, and after 4 months, acute kidney injury developed. Imaging studies revealed a giant splenic artery pseudoaneurysm. Splenectomy and distal pancreatectomy were performed. After surgery, renal function was improved.
