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Review of Visceral Aneurysms and Pseudoaneurysms

Lu, Minghao BS; Weiss, Clifford MD; Fishman, Elliot K. MD; Johnson, Pamela T. MD; Verde, Franco MD

Journal of Computer Assisted Tomography: January/February 2015 - Volume 39 - Issue 1 - p 1–6
doi: 10.1097/RCT.0000000000000156
Abdominal Imaging

Abdominal aneurysms and pseudoaneurysms represent an important finding every emergency radiologist must detect. True aneurysms are usually incidental to the presenting complaint, whereas pseudoaneurysms are nearly always symptomatic. We review the demographics, pathophysiology, clinical presentation, computed tomographic appearance, treatment approaches, and prognosis of visceral aneurysms and pseudoaneurysms involving splenic, gastroduodenal, hepatic, superior mesenteric, and renal arteries.

From the The Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD.

Received for publication July 9, 2014; accepted August 28, 2014.

Reprints: Franco Verde, MD, Johns Hopkins Bayview Medical Center, 4940 Eastern Ave, Pavilion Bldg, First Floor, Imaging Department, Baltimore, MD 21224 (e-mail:

Conflict of interest and sources of funding: C.W. has a current financial relationship with Clear Guide Medical/St Jude and sits on the advisory board, has ongoing grants or pending grants with Siemens/Merit/National Institute of Health/Coulter Foundation/Society for Interventional Radiology, has received payment for lectures in the past from Siemens Healthcare, receives royalties from Lippincott Williams & Wilkins, has relevant patents, and has received money from National Institute of Health for travel or accommodations. Other authors have no relevant conflict of interests or sources of funding to declare.

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