56F with hx of recurrent alcoholic pancreatitis complicated by necrosis and pseudocyst formation in the tail that has been instrumented a total of 3 times previously transgastrically and endoscopically. Most recent imaging demonstrated new cyst with incidental finding of large >3cm splenic artery pseudoaneurysm and splenic vein thrombus. No abdominal or flank pain.
Seen by general surgery – Given the recurrent alcoholic pancreatitis, deferred intervention for the pseudocyst. Deemed pseudoaneurysm to be high risk given embedment within the pseudocyst. Can’t approach surgically.