A case of a patient who underwent transcatheter arterial embolization for unruptured splenic aneurysm during pregnancy

Shoichi Ikenaga; Daisuke Yunaiyama; Toru Saguchi; Jun Otaka; Takafumi Yamada; Hiroe Ito; Katsutoshi Sugimoto; Takao Itoi; Kazuhiro Saito

doi:10.1016/j.radcr.2020.10.054

A case of a patient who underwent transcatheter arterial embolization for unruptured splenic aneurysm during pregnancy

Radiol Case Rep. 2020 Nov 3;16(1):78-83. doi: 10.1016/j.radcr.2020.10.054. eCollection 2021 Jan.

Authors

Shoichi Ikenaga¹, Daisuke Yunaiyama¹, Toru Saguchi¹, Jun Otaka¹, Takafumi Yamada¹, Hiroe Ito², Katsutoshi Sugimoto³, Takao Itoi³, Kazuhiro Saito¹

Affiliations

¹ Department of Radiology, Tokyo Medical University, Address: 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023 Japan.
² Department of Obstetrics and Gynecology, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
³ Department of Gastroenterology and Hepatology, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.

Abstract

Here, we report the case of a 30-year-old female patient who underwent coil embolization for unruptured splenic artery aneurysm without any complication at 26 weeks of pregnancy with reduction in fetal radiation exposure. The patient did not suffer from rupture of splenic artery aneurysm during or after procedure. Pregnancy is a risk factor of splenic artery aneurysm rupture with a high mortality rate. Transcatheter arterial embolization at 26 weeks of pregnancy might be a better treatment alternative for a pregnant patient with splenic artery aneurysm with respect to the endurance of fetal radiation exposure to prevent aneurysm rupture.

Keywords: Coil embolization; Pregnancy; Radiation exposure; Splenic artery.

Publication types

Case Reports