Fatih UZUNKAYA, Ayşegül İdil SOYLU, Mehmet Selim Nural, Kağan KARABULUT

Splenik Arter Psödoanevrizmasının Senkop ile Kendini Gösteren Rüptür Sonrasında Rekürrensi: Transarteriyel Embolizasyon ile Tedavi

ÖZSplenik arter psödoanevrizması nadir ancak potansiyel olarak ölümcül bir bozukluktur. Transarteriyel embolizasyon bu bozukluğun tedavisinde tercih edilen yöntem haline gelmiştir, ancak psödokistlerin de içerisinde yer aldığı duvarlı pankreatik sıvı birikimlerinin varlığı bu tedavi yöntemini zorlaştırabilir. Bu yazıda, splenik arter psödoanevrizmasının duvarlı bir pankreatik nekrotik sıvı birikimi içerisine yırtılmasından dolayı senkop şeklinde bulgu veren 40 yaşında kadın olguyu sunuyoruz. Yırtılmayı takiben daha büyük boyutta yeniden ortaya çıkan psödoanevrizma, başarısız bir girişimin arkasından endovasküler yöntemle dolaşımdan uzaklaştırılmıştır

Re-Emergence of A Splenic Artery Pseudoaneurysm Following Rupture Presenting as Syncope: Management with Transarterial Embolization

ABSTRACTSplenic artery pseudoaneurysms are rare but potentially lethal disorder. Transarterial embolization has become the preferred mode of therapy for the disorder, however, accompanying walled-off pancreatic fluid collections including pseudocysts can make the management more challenging. Herein, we present the case of a 40-year-old woman presenting with syncope due to the rupture of a splenic artery pseudoaneurysminto a walled-off pancreatic necrotic collection. The pseudoaneurysm that re-emerged at a larger size following the rupture was endovascularly excluded from circulation after a failed attempt.

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