Figure 1. An 69-year-old female with splenic pseudoaneurysm secondary to confirmed history of chronic pancreatitis, presenting with hematemesis, hemodynamic instability and gastrointestinal bleed.

2020-08-17 20:13:43

Category: Abdominal Imaging, Region: Abdomen-Pancreas, Plane: Axial

Findings: Initial axial (A and B) and coronal (C) images of pre-contrast CT aortogram of the abdomen and pelvis showed a collection (asterisk) inseparable from the pancreatic tail measuring 7.9 x 4.9 x 5.6 cm in three dimensions with peripancreatic inflammation. Small calcifications were detected surrounding the collection reflecting the pancreatic parenchyma consistent with the clinical history of chronic pancreatitis. Subsequently, contrast-enhanced axial (C and D) and coronal (F) images of CT aortogram showed shallow pooling of contrast along the superior aspect of the collection as evidenced by axial (E, arrow) and coronal (F, arrow) images, suggested of pseudoaneurysm of the splenic artery. Technique: CT Aortogram of abdomen and pelvis with axial and coronal reformats. CT scan settings were 5.00 mm slice thickness at 120kV.