Context Visceral artery pseudoaneurysms are uncommon.They most commonly affect the splenic artery and are secondary to chronic pancreatitis.Giant pseudoaneurysms (5 cm or larger in size) are rare and, until now, only 19cases have been reported. Case report A 47-year-old chronic alcoholic anddiabetic male presented with upper abdominal pain of 1-month duration without anyother significant complaint. Computed tomography was performed which revealed featuresof chronic pancreatitis along with a splenic artery pseudoaneurysm measuring 7x4cm in size. As the disease was confined to the body and tail of the pancreas, thepatient underwent a distal pancreatectomy and splenectomy along with resection ofthe pseudoaneurysm with an uneventful postoperative course. Conclusion Splenicartery pseudoaneurysms, especially the giant variety, are uncommon. As they aremost commonly secondary to chronic pancreatitis, they are better managed surgicallywhich resolves the pseudoaneurysm as well as its underlying cause (i.e. chronicpancreatitis).
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