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Pediatric Radiology
Published in: Pediatric Radiology 4/2004

01-04-2004 | Case Report

Spontaneous occlusion of post-traumatic splenic pseudoaneurysm: report of two cases in children

Authors: Ashok Raghavan, Christopher Kah Fook Wong, Albert Lam, Vivienne Stockton

Published in: Pediatric Radiology | Issue 4/2004

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Abstract

Conservative therapy for splenic injuries is widely advocated. The advantages of conservative therapy for splenic injuries include the preservation of splenic immune function, prevention of overwhelming post-splenectomy sepsis, and avoidance of laparotomy and its associated early and late complications. Pseudoaneurysms of the splenic artery branch are encountered because of the prevalence of conservative management and widespread use of imaging techniques in the follow-up of these cases. We report two cases of post-traumatic splenic pseudoaneurysm in children which thrombosed spontaneously, one during the diagnostic angiogram examination and another on follow-up studies.
Literature
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Hiraide A, Yamamoto H, Yahata K, et al (1994) Delayed rupture of the spleen caused by an intrasplenic pseudoaneurysm following blunt trauma; case report. J Trauma 36:743PubMed
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Davis KA, Fabian TC, Croce MA, et al (1998) Improved success in nonoperative management of blunt splenic injuries: embolization of splenic artery pseudoaneurysm. J Trauma 44:1008–1013PubMed
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Orlando G, Gianluca G, Piero V, et al (1996) Intrasplenic posttraumatic pseudoaneurysm: echo color Doppler diagnosis. J Trauma 41:542–545PubMed
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Kathirkarnathan S, Stuart EM, Robin BK, et al (2000) Nonsurgical management of blunt splenic injury: use of CT criteria to select patients for splenic arteriography and potential endovascular therapy. Radiology 217:75–82PubMed
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Hagiwara A, Yukioka T, Ohta S, et al (1996) Non surgical management of patients with blunt splenic injury: efficacy of transcatheter arterial embolization. AJR Am J Roentgenol 167:159–166
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Metadata
Title
Spontaneous occlusion of post-traumatic splenic pseudoaneurysm: report of two cases in children
Authors
Ashok Raghavan
Christopher Kah Fook Wong
Albert Lam
Vivienne Stockton
Publication date
01-04-2004
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 4/2004
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-003-1101-8

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