Post - traumatic splenic pseudoaneurysm: serie of 10 cases in 4 years

Splenic conservative treatment is nowadays widely used in medical practice, but it is still a challenge for surgeons due to its vascular complications.Vascular complications, such as pseudoaneurysms and AVFs after non-operative treatment of massive viscera, are important causes of treatment failure.In this article we will analyze a series of 10 cases of pseudoaneurysms and post-traumatic AVFs, as a failure of non-operative treatment of splenic trauma performed at HMLJ.In this series of cases, 10 patients developed pseudoaneurysms during conservative treatment of splenic trauma.All diagnoses were made by tomography with grade III/IV lesions.Of the 10 cases, 7 patients underwent partial splenectomy, 2 underwent an endovascular approach (one patient underwent truncal embolization of the splenic artery and the other underwent selective branch embolization) and 1 patient underwent total splenectomy.No complications were observed in the therapeutic approaches.This series demonstrated satisfactory results in splenic preservation even in the presence of these complications.