Diagnosis and treatment of visceral pseudoaneurysms of 14 cases / 中国普通外科杂志

ABSTRACT

Objective To sum up our experiences for the diagnosis and treatment of visceral pseudoaneurysms. Methods This study included 14 patients admitted from 1990 to 2000, consisting of 6 hepatic, 5 splenic, 3 gastroduodenal aneurysms. Results Thirteen cases experienced a rupture. Five cases received emergent surgery, which was successful in 2, and fatal in one. Transcatheter embolization was used in 11 cases which was successful in all without complications and recurrence after an average follow up of 2 years. Conclusions Digital substraction angiography has diagnostic value for rupture of visceral pseudoaneurysms. Transcatheter embolization is an effective treatment for the majority of patients with visceral pseudoaneurysms.