Fig. 4. A 75-year-old female with gallstone pancreatitis presented with abdominal pain. (A) An axial, contrast-enhanced computed tomography scan shows an approximately 1.5-cm pseudoaneurysm (arrow) from the splenic artery with surrounding hematoma in the pancreas tail, and thus suggesting ruptured pseudoaneurysm in an underlying pseudocyst. (B, C) A large pseudoaneurysm in the perihilar splenic artery is noted on a splenic arteriogram. (D) Both the proximal and distal parts of the pseudoaneurysm were embolized using microcoils and N-butyl cyanoacrylate. (E) Completion splenic arteriogram shows that the pseudoaneurysm had disappeared.
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