A 19-year-old female presented with episodic abdominal pain not related to food intake. She had occasional vomiting but had no gastrointestinal bleed. Routine ultrasound examination picked up aneurysm of the superior mesenteric artery (SMA). Computed tomography angiogram showed stenosis of the origin of the SMA and multiple aneurysms involving the proximal SMA. A large collateral artery also sh...

: A 73-year-old man with a history of COVID-19 infection from two weeks ago was referred to the Emergency Department complaint colicky and generalized abdominal pain in addition prior respiratory symptoms. High-resolution Computed Tomography (HRCT) displayed typical signs pneumonia. Initially, laboratory tests showed increased C-reactive protein severe leukocytosis. Because pain, spiral pelvic ...

Endoscopic hemostasis is a useful treatment modality for gastric ulcer bleeding. However, it is sometimes difficult to achieve hemostasis in cases with arterial bleeding, especially those complicated with vascular abnormalities. We describe a case with gastric ulcer bleeding from a variant left gastric artery accompanied by congenital absence of the splenic artery. A 50-year-old female was admi...

The "Evidence-based Telemedicine - Trauma & Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of splenic trauma. Our focus was on high-grade splenic injuries, defined as AAST injury grade III-V. The first paper was an update of the 2003 Eastern Association for the Surgery of Trauma (EAST) practice m...

We present a rare case of spontaneous trans-splenic shunt and intra-splenic collaterals in a patient with liver cirrhosis and portal hypertension. The shunt and presence of cirrhosis and portal hypertension was incidentally detected by abdominal computed tomographic imaging during evaluation for abdominal pain. There has been a single report on the presence of trans-splenic shunt in two childre...

The erosion of the peripancreatic vascular structures is a rare but life-endangering complication of pancreatic diseases. We report a female patient with a multicompartmentalized pancreatic pseudocyst that eroded the splenic artery resulting in a retroperitoneal and splenic hematoma with hemodynamic instability which required emergency laparotomy with splenectomy, partial cystectomy, ligation o...

Partial splenic embolization (PSE) through radial artery utilizing 5 Fr. 125 cm catheter and 1.9 150 or 1.7 165 microcatheter has been conducted in six liver cirrhosis patients with splenomegaly. After inserting the catheters into artery, gelatin sponge particle and/or pushable coil was performed peripheral branches. removing sheath, a compression wristband utilized to stem bleeding punctuated ...

Gastrointestinal bleeding caused by a fistula between the gastricsleeve and pseudoaneurysm of splenic artery or upper pole ofthe spleen is uncommon.A clinical case 52-year-old patient with history surgery anastomotic leak presented.She was admitted for severe gastrointestinal bleeding.She underwent emergency performed hemostaticstitch on posterior face gastric sleeve. She underwentreoperation d...