Spontaneous occlusion of splenic and renal pseudoaneurysm after blunt abdominal trauma: a case report and literature review

J Emerg Med. 2010 Apr;38(3):e17-22. doi: 10.1016/j.jemermed.2007.07.023. Epub 2008 Jan 4.

Abstract

Pseudoaneurysms caused by blunt abdominal trauma are rarely observed in solid organs. The preferred therapy for pseudoaneurysm after blunt abdominal trauma is often angiography and embolization. Here, we report a case of a spontaneous occlusion of splenic pseudoaneurysm and renal pseudoaneurysm after blunt abdominal trauma. Angiography and embolization were not required, and contrast-enhanced multi-detector computed tomography was used to monitor the patient. This case shows that spontaneous occlusion can be one of the possible outcomes of intraparenchymal splenic pseudoaneurysm and renal pseudoaneurysm after blunt abdominal trauma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Bed Rest
  • Football / injuries
  • Hemoperitoneum / diagnostic imaging*
  • Hemoperitoneum / therapy
  • Humans
  • Kidney / diagnostic imaging
  • Kidney / injuries*
  • Male
  • Retroperitoneal Space / diagnostic imaging
  • Spleen / diagnostic imaging
  • Spleen / injuries*
  • Tomography, X-Ray Computed
  • Wounds, Nonpenetrating / complications*