Splenic pseudoaneurysm in a child with hereditary pancreatitis

Abstract

Splenic artery pseudoaneurysm (SAP) formation is an uncommon complication of pancreatitis. It is believed to be the result of vascular erosion by pancreatic enzymes, a process that compromises the integrity of the splenic artery wall. The final result is a weak, expanded vessel wall that may hemorrhage into the peritoneal cavity or retroperitoneal space. There are no known reports of SAP in the pediatric population or in patients with hereditary pancreatitis. We report a case of SAP formation in a 5-year-old child with hereditary pancreatitis that was successfully managed via transcatheter coil embolization of the splenic artery.