Post-traumatic intrasplenic pseudoaneurysms with delayed rupture: Color Doppler sonographic and CT findings

FİTOZ Ö. S., Atasoy C., Dusunceli E., Yagmurlu A., Erden A., Akyar S.

JOURNAL OF CLINICAL ULTRASOUND, cilt.29, sa.2, ss.102-104, 2001 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 2
  • Basım Tarihi: 2001
  • Dergi Adı: JOURNAL OF CLINICAL ULTRASOUND
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.102-104
  • Anahtar Kelimeler: spleen, injury, pseudoaneurysm, ultrasonography, computed tomography, BLUNT SPLENIC INJURIES, ARTERY, EMBOLIZATION, MANAGEMENT
  • Ankara Üniversitesi Adresli: Evet

Özet

Post-traumatic intrasplenic pseudoaneurysms are very rare in children. Since pseudoaneurysms may expand a splenic hematoma and cause delayed splenic rupture, early diagnosis and treatment a re crucial. In this report, we describe the case of a 12-year-old boy with a delayed splenic rupture caused by a splenic hematoma containing 2 pseudoaneurysms. Abdominal sonography showed free intraperitoneal fluid and a mildly enlarged spleen with a large heterogeneous area occupying the upper half of the organ. Two anechoic lesions (15 and 4 mm) were seen inside the hematoma near the splenic hilum. Color Doppler sonography demonstrated turbulent arterial flow within the lesions, suggesting pseudoaneurysms. On CT, the lesions enhanced simultaneously with the splenic artery in the arterial phase of contrast enhancement. CT also showed an intrasplenic arterial branch leading to the larger of the 2 pseudoaneurysms. (C) 2001 John Wiley & Sons, Inc. J Clin Ultrasound 29:102-104, 2001.