Splenic Artery Pseudoaneurysm Diagnosed During Endoscopic Retrograde Wirsungography

Pseudoaneurysm (PA) of splenic artery, is the most prominent vascular complication in the setting of chronic pancreatitis, with 12-57% of mortality in case of treated rupture or 90-100% in untreated cases[1-2]. Clinically bleeding could appear as: hemosuccus in the case of communication with the pancreatic duct, or inside a pseudocyst or into the peritoneal cavity. CT scan and/or IRM angiograpghy are the tools for diagnosis and transarterial embolization is the treatment of reference. A 41 years old man presenting chronic pancreatitis, induced by alcohol, with pancreatic main duct stenosis treated by plastic calibrate stenting, six month before, was admitted to the hospital for stent replacement.This article is protected by copyright. All rights reserved.