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KMID : 0882420120820010100
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Korean Journal of Medicine
2012 Volume.82 No. 1 p.100 ~ p.104
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Giant Splenic Artery Pseudoaneurysm Presenting with Acute Kidney Injury
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Park Ji-Hyeon
Song Lim-Hwa
Jhun Byung-Woo
Jung Hyun-Ae
Jang Hye-Ryoun
Oh Ha-Young
Kim Yoon-Goo
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Abstract
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Splenic artery pseudoaneurysm is a rare, but potentially lethal, vascular lesion. The mortality rate may be 75-90%, if the aneurysm ruptures. The risk for rupture of an untreated splenic artery pseudoaneurysm is about 37%. Hence, early diagnosis and prompt surgical intervention are vital to improve survival. However, vague symptoms make early diagnosis difficult. We report here a case of a giant splenic artery pseudoaneurysm presenting with acute kidney injury. The patient had been treated previously for infective endocarditis, and after 4 months, acute kidney injury developed. Imaging studies revealed a giant splenic artery pseudoaneurysm. Splenectomy and distal pancreatectomy were performed. After surgery, renal function was improved.
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KEYWORD
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Pseudoaneurysm, Acute kidney injury, Endocarditis
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