EUS GUIDED THROMBIN INJECTION OF PSEUDO AND TRUE ANEURYSM OF A BRANCH OF SPLENIC ARTERY

A 64 years male patient with abdominal pain 7 days. Hemoglobin 6.5 mg/dl, Ultrasound revealed 6 x 5 cm aneurysm in body of pancreas. CT angiogram -multiple microaneurysms in liver, kidneys, pancreas and spleen suggestive of polyarteritis nodosa, A 6 x 5 cm pseudoaneurysm in the pancreatic body from branch of splenic artery. A true aneurysm inside the pseudoaneurysm, mistaken as splenic artery. Pseudoaneurysm was punctured with 22G needle and 1 ml each of reconstituted thrombin+fibrinogen+aprotinin was injected simultaneously. True aneurysm still patent on CT and injected with thrombin and complete obliteration achieved.

Publication History

Article published online:
14 April 2022