Splenic artery pulsatility index is presented in fig-1.
Sugawara et al., "Spleen-preserving distal pancreatectomy with conservation of the
splenic artery and vein: techniques and its significance," Journal of Hepato-Biliary-Pancreatic Sciences, vol.
The accessory left gastric artery branched from the proximal third of the
splenic artery. This is a rare case and to our knowledge not previously reported in the literature.
Imaging-guided percutaneous drainage and
splenic artery embolization appeared to be another feasible option for subcapsular splenic hematomas to prevent splenic rupture and obviate splenectomy.
If it fails and the patient is hemodynamically stable,
splenic artery embolization is the next step.
In one patient with
splenic artery pseudoaneurysm, a small infarct was identified in spleen on followup CT examination.
When coming near the splenic hilum, the
splenic artery usually divides into the superior and inferior terminal branch, and each branch further divides into four to six segmental intrasplenic branches.
The common hepatic artery was present in 28 (28%) cadavers as the last artery, the
splenic artery in 6 (6%) and both arteries at the same level, as terminal branches, in 48 (48%) out of the 82 studied cadavers.
Rupture of
splenic artery aneurysm remains an uncommon cause of hypovolemic shock although it is the third most common intra-abdominal aneurysms.
It was first reported in 1931 by Lower and Farrell [1]who reported bleeding from an aneurysm of the
splenic artery coming via the pancreatic duct and the ampulla of Vater.
on
splenic artery embolization, in which they reached in conclusion that
splenic artery embolization might be an option for hemolytic anemia as a bridging therapy to surgery or as an alternative therapy, especially in critically ill patients with disorders that contraindicate surgery (1).
Death occurred a few hours after surgery, due to haemorrhage from a branch of the
splenic artery.
