Post - traumatic splenic pseudoaneurysm: serie of 10 cases in 4 years

• DOI: https://doi.org/10.22533/at.ed.1594222420021

• Palavras-chave: Splenic pseudoaneurysm, conservative treatment, splenic trauma, partial splenectomy, splenic embolization

• Keywords: Splenic pseudoaneurysm, conservative treatment, splenic trauma, partial splenectomy, splenic embolization

• Abstract:

  Splenic conservative treatment is nowadays widely used in medical practice, but it is still a challenge for surgeons due to its vascular complications. Vascular complications, such as pseudoaneurysms and AVFs after non-operative treatment of massive viscera, are important causes of treatment failure. In this article we will analyze a series of 10 cases of pseudoaneurysms and post-traumatic AVFs, as a failure of non-operative treatment of splenic trauma performed at HMLJ. In this series of cases, 10 patients developed pseudoaneurysms during conservative treatment of splenic trauma. All diagnoses were made by tomography with grade III/IV lesions. Of the 10 cases, 7 patients underwent partial splenectomy, 2 underwent an endovascular approach (one patient underwent truncal embolization of the splenic artery and the other underwent selective branch embolization) and 1 patient underwent total splenectomy. No complications were observed in the therapeutic approaches. This series demonstrated satisfactory results in splenic preservation even in the presence of these complications.