title: Urgent endovascular ligature of a ruptured splenic artery pseudoaneurysm in a patient with acute pancreatitis: a case report.
abstract: BACKGROUND
  We report on the successful endovascular treatment of a ruptured splenic artery pseudoaneurysm. Our patient had acute pancreatitis superimposed on chronic calcific pancreatitis and chronic renal impairment. Contrast-enhanced ultrasonography was used to assess post-embolization results.
  
  
  METHODS
  Our patient was a 67-year-old white Caucasian man with recurrent pancreatitis. Computed tomography angiography showed a pancreatic pseudocyst with a ruptured pseudoaneurysm, which was successfully embolized using an endovascular percutaneous approach. At six months, persistent renal failure led to contrast-enhanced ultrasonography. This confirmed the absence of turbulent blood flow and extravasation of contrast medium in the pseudocyst.
  
  
  CONCLUSIONS
  Our experience with this case leads us to support the role of interventional radiology as a first-line treatment tool. Contrast-enhanced ultrasonography can be used to follow-up embolization procedures in patients with impaired renal function.
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Ierardi
authors.forename: Mario
authors.initials: M
authors.lastname: Petrillo
authors.forename: Raffaella
authors.initials: R
authors.lastname: Capasso
authors.forename: Federico
authors.initials: F
authors.lastname: Fontana
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bacuzzi
authors.forename: Ejona
authors.initials: E
authors.lastname: Duka
authors.forename: Domenico
authors.initials: D
authors.lastname: Laganà
authors.affiliation: Department of Radiology, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Viale Borri 57, 21100 Varese, VA, Italy. gcarraf@gmail.com.
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Carrafiello
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000628:therapy; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008026:Ligation; D008297:Male; D010195:Pancreatitis / Q000150:complications; D050500:Pancreatitis, Chronic / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D015642:Radiology, Interventional; D013161:Splenic Rupture / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color