Page 51 - Virtual Vascular Vol 2 Sep 2020-f

Peripheral Arterial Disease

Splenic Artery Pseudoaneurysm

elayed presentation of chronic
Datherosclerotic occlusive disease is
a common problem in Hong Kong. This
patient had what appeared to be dry
gangrene of his left 3rd and 4th toes, A heavy drinker with chronic pancreatitis. A
and severe resting pain. CT findings of 4cm splenic artery
pseudoaneurysm. This is likely to be a
Many of these patients are elderly, had complication from previous attacks of acute

multiple comorbidities, diabetic and pancreatitis. The splenic artery is in close
was not given proper care when early proximity to the pancreas.
symptoms of critical ischemia devel-
oped.

Close inspection revealed infection of
the plantar spaces in the forefoot and
urgent ray resection and debridement
was necessary. This created significant

tissue loss and the risk of major ampu-
tation is very high Pseudoaneurysm
Left gastric artery Splenic artery

Celiac artery
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Aorta