Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Arterial Embolization for the Ruptured Splenic Artery Pseudoaneurysm in a Child

소아 가성비장동맥 파열의 동맥색전술 치험 1예

  • Han, Seok-Joo (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Lee, Do-Yun (Department of Diagnostic Radiology, Yonsei University College of Medicine) ;
  • Han, Ai-Ri (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Choi, Gi-Hong (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Oh, Jung-Tak (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Choi, Seung-Hoon (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Hwang, Eui-Ho (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine)
  • 한석주 (연세의대 외과학교실 소아외과) ;
  • 이도연 (연세의대 외과학교실 진단방사선과) ;
  • 한애리 (연세의대 외과학교실 소아외과) ;
  • 최기홍 (연세의대 외과학교실 소아외과) ;
  • 오정탁 (연세의대 외과학교실 소아외과) ;
  • 최승훈 (연세의대 외과학교실 소아외과) ;
  • 황의호 (연세의대 외과학교실 소아외과)
  • Published : 2000.12.30
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Abstract

Pseudoaneurysm of the splenic artery may arise from a vascular erosion by a surrounding inflammatory processes in acute and chronic pancreatitis. Rupture of the pseudoaneurysm may threaten the patient's life. Conservative management for massive hemorrhage may cause 100 percent mortality and even with prompt therapy there is a high mortality. Preoperative detection of bleeding source is desirable because of the difficult identification of the bleeding site at laparotomy. Angiographic identification and embolization of the hemorrhagic vessels in selected cases may obviate the risk of urgent surgery. The authors have recently managed a case of ruptured splenic artery pseudoaneurysm combined with a pancreatic pseudocyst in a 6 years old boy. A bolus enhanced CT scan and angiography confirmed the diagnosis. We managed this child successfully with the urgent transcatheter arterial embolization followed by elective surgery.

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