Evidence map›Paper›PMID 41321356›Full record

ArticleTrauma case reports2025

Delayed presentation of splenic pseudoaneurysm and its management: A case report.

Madhur Uniyal, Priya Ahuja, Divakar Goyal

Abstract readCase Reports
In one paragraph

Article in Trauma case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Madhur UniyalDepartment of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, India.
Priya AhujaDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India.
Divakar GoyalDepartment of Trauma, All India Institute of Medical Sciences, Bathinda, Punjab, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Splenic pseudoaneurysm following splenic trauma is a rare but serious complication with a high risk of rupture. Percutaneous embolization has emerged as the preferred treatment modality in hemodynamically stable patients. However, the exact timing of pseudoaneurysm appearance and the management of multiple pseudoaneurysms remain unclear and lack standardized protocols. Methods: We present a case of a 35-year-old female with a Grade 4 splenic injury (according to the AAST grading system) who did not have any pseudoaneurysm on her initial contrast-enhanced CT. However, on post-injury day 5, ultrasound (USG) revealed multiple splenic pseudoaneurysms, which were further confirmed by CT angiography. The patient underwent percutaneous Gelfoam embolization to manage these various pseudoaneurysms. Results: The patient underwent successful Gelfoam embolization, effectively controlling the multiple pseudoaneurysms in the spleen with no immediate complications. Post-procedural recovery was uneventful, and the patient was discharged after appropriate monitoring. Conclusion: A well-established protocol is necessary to promptly diagnose splenic pseudoaneurysms after solid organ injury. Follow-up imaging, such as USG and CT angiography, should be performed promptly. To reduce interobserver variations, it is recommended that the same radiologist perform the follow-up ultrasound for consistency in the interpretation and detection of complications.

Indexed as

ManagementPseudoaneurysmsSplenic injury

Identifiers

PMID41321356
PMCPMC12661106

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LicenceCC BY-NC-ND
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