EUS imaging of splenic artery pseudoaneurysm

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Presentation transcript:

EUS imaging of splenic artery pseudoaneurysm Malay Sharma, MD, DM, Piyush Somani, MD, DM, Rajendra Prasad, MD, DM, Saurabh Jindal, MD, DM VideoGIE Volume 2, Issue 9, Pages 219-220 (September 2017) DOI: 10.1016/j.vgie.2017.03.008 Copyright © 2017 Terms and Conditions

Figure 1 A, Endoscopic image showing blood in duodenum. B, Linear EUS view showing a 27 mm × 32 mm cystic-appearing lesion in the body of the pancreas. C, The cystic lesion has a thick outer hypoechoic wall and inner anechoic area, giving it a characteristic “donut” appearance. D, EUS view showing edematous pancreatic parenchyma with peripancreatic fluid collection consistent with an acute attack of pancreatitis. E, Color-flow and Doppler US imaging showing vascular flow in the central anechoic area. F, G, The digital subtraction images of the splenic artery arteriogram demonstrating extravasation of contrast medium into a splenic artery pseudoaneurysm (arrow). The angiocatheter is also seen. H, Digital subtraction image depicting the successfully embolized splenic artery pseudoaneurysm with detachable coils. The arteriogram confirms complete stasis of flow within the artery without residual filling of pseudoaneurysm. VideoGIE 2017 2, 219-220DOI: (10.1016/j.vgie.2017.03.008) Copyright © 2017 Terms and Conditions