Abstract
Splenic artery aneurysms are among the more frequently diagnosed intra-abdominal aneurysms
and are not infrequent in patients with raised portal venous pressure often requiring
endovascular or surgical therapy. A 36-year-old female patient with Non-cirrhotic
portal fibrosis and portal hypertension was diagnosed with multiple large splenic
artery aneurysms for which she was initially operated which resulted in substantial
blood loss during dissection that required embolotherapy. Initial attempts at coil
embolization proved unsuccessful due to the wide aneurysmal neck and flow characteristics.
Following which the aneurysmal sac was packed with multiple guidewires to act as a
scaffold for further coil embolization. Subsequently, hemostasis was achieved and
the patient underwent splenectomy later thereby demonstrating that embolization of
large aneurysms can be accomplished with reasonable efficacy using guidewires.
Keywords
splenic artery aneurysm - guidewire - embolotherapy - embolic agent
