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Case Reports in Surgery
Volume 2016, Article ID 1858461, 3 pages
http://dx.doi.org/10.1155/2016/1858461
Case Report

Rebleeding of a Splenic Artery Aneurysm after Coil Embolisation

1Emergency Department, Máxima Medical Centre, Veldhoven, Netherlands
2Radiology Department, Máxima Medical Centre, Veldhoven, Netherlands
3Surgery Department, Máxima Medical Centre, Veldhoven, Netherlands

Received 15 July 2016; Accepted 11 October 2016

Academic Editor: Claudio Feo

Copyright © 2016 Kyra D. Kingma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Splenic artery aneurysm (SAA) is an uncommon and difficult diagnosis. SAA is more common in females. Only 20% of SAA is symptomatic and may present as a rupture. A ruptured SAA is associated with a 25% mortality rate. Case Presentation. We present a case of a male patient with a bleeding SAA that rapidly increased in size. Distal coiling was technically impossible and despite proximal coil embolisation the SAA continued to bleed. A laparotomy including splenectomy and partial pancreatectomy was performed with an uneventful patient recovery. Discussion. Endovascular management is currently considered the optimal treatment of SAA. However, careful monitoring and follow-up is needed after embolisation as rapid recanalization of the SAA may possibly occur, especially when distal coiling of the aneurysm is unsuccessful. Conclusion. Endovascular treatment of an SAA is not necessarily effective. Surgeons must be prepared to perform open procedures to further reduce mortality rates.