title: Pseudoaneurysm of the radial branch of the splenic artery with pancreatic pseudocyst in a child with recurrent acute pancreatitis: treatment with endovascular stent graft and cystogastrostomy.
abstract: Splenic artery pseudoaneurysms (SAPs) are rare in children and usually follow abdominal trauma. Although pancreatitis is a well-known cause for SAP in adults, pancreatitis resulting in SAP has only sporadically been reported in children. Before the refinements of endovascular techniques for management of SAP, surgery used to be the mainstay of treatment, often resulting in splenectomy. Recent technical advancements, including development of smaller delivery systems and microcatheters, have made endovascular treatment feasible in children with SAP and increased chances of splenic preservation. In this article, we report a rare case of SAP associated with a pancreatic pseudocyst in a 5-year-old boy with recurrent acute pancreatitis that was managed by endovascular stent graft and cystogastrostomy.
authors.affiliation: The Department of Paediatric Surgery, Lady Hardinge Medical College and Kalawati Saran Children's Hospital, New Delhi-110 001, India. puriarchana@hotmail.com
authors.forename: Archana
authors.initials: A
authors.lastname: Puri
authors.forename: Himanshu
authors.initials: H
authors.lastname: Acharya
authors.forename: Sanjay
authors.initials: S
authors.lastname: Tyagi
authors.forename: Sumod
authors.initials: S
authors.lastname: Curian
authors.forename: Rajiv
authors.initials: R
authors.lastname: Chadha
authors.forename: Rama
authors.initials: R
authors.lastname: Anand
authors.forename: Subhasis Roy
authors.initials: SR
authors.lastname: Choudhary
mesh_terms: D000208:Acute Disease; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation; D002675:Child, Preschool; D006801:Humans; D008297:Male; D010179:Pancreas / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis; D012008:Recurrence; D013157:Splenic Artery; D015607:Stents; D013270:Stomach / Q000601:surgery*