Skip to main content
Log in

Multidetector CT-guided endovascular treatment of a splenic artery aneurysm in a child with split-liver transplant and surgically ligated splenic artery origin

  • Case Report
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

We report the case of a child who underwent left lateral split-liver transplantation for biliary atresia and surgical ligation of the origin of the splenic artery at the time of the transplantation. Post-transplant portal vein thrombosis was initially treated with a meso-rex shunt. This shunt subsequently thrombosed and was replaced by a splenorenal shunt. Three months after splenorenal shunt placement, US showed a 3.7-cm pseudoaneurysm at the hilum of the spleen. Multidetector CT with 3-D reconstruction allowed precise identification of the pseudoaneurysm feeding artery and therefore helped in planning the interventional radiology procedure, avoiding explorative selective catheterisation. The pseudoaneurysm was successfully treated with endovascular coil embolisation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Gupta V, Kumar S, Kumar P et al (2011) Giant pseudoaneurysm of the splenic artery. JOP 12:190–193

    Google Scholar 

  2. Moon DB, Lee SG, Hwang S et al (2009) Characteristics and management of splenic artery aneurysms in adult living donor liver transplant recipients. Liver Transpl 15:1535–1541

    Article  PubMed  Google Scholar 

  3. Uflacker R, Selby JB, Chavin K et al (2002) Transcatheter splenic artery occlusion for treatment of splenic artery steal syndrome after orthotopic liver transplantation. Cardiovasc Interv Radiol 25:300–306

    Article  Google Scholar 

  4. Geissler I, Lamesch P, Witzigmann H et al (2002) Splenohepatic arterial steal syndrome in liver transplantation: clinical features and management. Transpl Int 15:139–141

    Article  PubMed  Google Scholar 

  5. Sevmis S, Boyvat F, Aytekin C et al (2006) Arterial steal syndrome after orthotopic liver transplantation. Transplant Proc 38:3651–3655

    Article  PubMed  CAS  Google Scholar 

  6. Huang IH, Zuckerman DA, Matthews JB (2004) Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin-collagen injection. J Vasc Surg 40:574–577

    Article  PubMed  Google Scholar 

  7. Robertson AJ, Rela M, Karani J et al (1999) Splenic artery aneurysm and orthotopic liver transplantation. Transpl Int 12:68–70

    Article  PubMed  CAS  Google Scholar 

  8. Ulu EM, Kirbas I, Emiroglu FK et al (2008) Multidetector CT findings of splenic artery aneurysm in children with chronic liver disease. Pediatr Radiol 38:1095–1098

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Settimo Caruso.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Caruso, S., Miraglia, R., Carollo, V. et al. Multidetector CT-guided endovascular treatment of a splenic artery aneurysm in a child with split-liver transplant and surgically ligated splenic artery origin. Pediatr Radiol 42, 1134–1137 (2012). https://doi.org/10.1007/s00247-012-2355-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-012-2355-9

Keywords

Navigation