alexa Acute Portal Vein Thrombosis and Pancreatitis: An Adverse Complication of the Embolization of a Splenic Artery Aneurysm | OMICS International
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Acute Portal Vein Thrombosis and Pancreatitis: An Adverse Complication of the Embolization of a Splenic Artery Aneurysm

Safadi Wajdi*, Waksman Igor, Morrison Seth and Salamon Tal
Ziv Hospital, Bar-Ilan University, Isreal
Corresponding Author : Safadi Wajdi
Ziv Hospital affiliated to the faculty of medicine in the galilee
Bar-Ilan University, General Surgery, Safed, IL 13100; Israel
Tel: +972508316160
E-mail: [email protected]
Received August 30, 2014; Accepted October 20, 2014; Published October 22, 2014
Citation: Wajdi S, Igor W, Seth M, Tal S (2014) Acute Portal Vein Thrombosis and Pancreatitis: An Adverse Complication of the Embolization of a Splenic Artery Aneurysm. J Clin Case Rep 4:426. doi:10.4172/2165-7920.1000426
Copyright: © 2014 Wajdi S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

A 45-year-old woman presented with few months history of left upper quadrant abdominal pain radiating to her left shoulder. Computed Tomographic Angiography (CTA) demonstrated two successive splenic artery aneurysms 2.2 and 2.8 cm in diameter in the distal splenic artery. Her symptomatic nature and the aneurysm’s size necessitated proceeding with treatment. The aneurysms were treated by endovascular coil and thrombin embolization. A few hours post-procedure, she developed acute portal vein thrombosis (aPVT), followed by acute pancreatitis and near-total splenic infarction. Treatment with anticoagulant therapy and antibiotics led to a good recovery. She was discharged on warfarin therapy for 6 months. 40 days after embolization, an abdominal CTA revealed a patent portal vein, occlusion of the aneurysms and partial splenic infarction. We present an overview of the natural history, treatment options and side effects of treatment of splenic artery aneurysms.

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