Purpose: Visceral artery pseudo-aneurysms were infrequently encountered in clinical practice. With the advent of higher resolution imaging, VAPA has been diagnosed more frequently and promptly. Though the natural history of this pathology is not fully elucidated, they can present with devastating complications. This study is one of the few large case series exclusively describing visceral artery pseudo-aneurysm offering a glimpse in to various etiologies, presentations, and treatment approaches for visceral artery pseudo-aneurysms in a specialized care center.