Endovascular treatment of post-laparoscopic pancreatectomy splenic arteriovenous fistula with splenic vein aneurysm

Figure 1 Abdominal computed tomography images demonstrating a splenic vein aneurysm approximately 56 mm × 64 mm in size.

Figure 2 Angiographic imaging. A: Celiac artery angiogram demonstrating a fistula (black arrow) between the proximal splenic artery and the splenic venous aneurysm; B: The contrast medium from the splenic vein aneurysm continued to the portal vein (black arrowhead) through the collateral vessels; the splenic vein main trunk on the portal vein side was occluded (white arrowhead); C: A micro-catheter is shown advancing to the drainage vein through the aneurysm; D: The drainage vein after embolization with 7 coils; E: The splenic artery, including the splenic arteriovenous fistula, after coil embolization; F: The splenic vein aneurysm disappeared after embolization of the splenic artery, including the splenic arteriovenous fistula and drainage vein.