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 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