Rupture of splenic artery aneurysm in a pregnant patient with portal hypertension

ABSTRACT Splenic artery aneurysms - the most common visceral artery aneurysms - are found most often in multiparous women and in patients with portal hypertension. Indications for treatment of splenic artery aneurysm or pseudoaneurysm include specific symptoms, female gender and childbearing age, presence of portal hypertension, planned liver transplantation, a pseudoaneurysm of any size, and an aneurysm with a diameter of more than 2.5cm. Historically, the treatment of splenic artery aneurysm has been surgical ligation of the splenic artery, ligation of the aneurysm, or aneurysmectomy with or without splenectomy, depending on the aneurysm location. There are other percutaneous interventional techniques. The authors present a case of a splenic artery aneurysm in a 51-year-old woman, detected incidentally.

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S3541 Sinistral Portal Hypertension Secondary to Splenic Artery Aneurysm: An Exceedingly Rare Entity

The American Journal of Gastroenterology ◽

10.14309/01.ajg.0000716212.26183.64 ◽

2020 ◽

Vol 115 (1) ◽

pp. S18-S18

Author(s):

Eric Then ◽

Swetha Parvataneni ◽

Tagore Sunkara ◽

Andrea Culliford ◽

FACG ◽

...

Keyword(s):

Portal Hypertension ◽

Splenic Artery ◽

Artery Aneurysm ◽

Splenic Artery Aneurysm ◽

Rare Entity ◽

Sinistral Portal Hypertension

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A Rare Quadruple Association: Fibromuscular Dysplasia, Giant Splenic Artery Aneurysm, Extrahepatic Portal Hypertension, and Hypersplenism

Indian Journal of Critical Care Medicine ◽

10.5005/jp-journals-10071-23710 ◽

2021 ◽

Vol 25 (1) ◽

pp. 100-103

Author(s):

Sweety Shinde

Keyword(s):

Portal Hypertension ◽

Splenic Artery ◽

Fibromuscular Dysplasia ◽

Artery Aneurysm ◽

Splenic Artery Aneurysm ◽

Extrahepatic Portal Hypertension

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Multiple Giant Splenic Artery Aneurysms Causing Sinistral (Left-Sided) Portal Hypertension

Case Reports in Gastrointestinal Medicine ◽

10.1155/2016/6278452 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Kemal Beksac ◽

Derya Karakoc

Keyword(s):

Portal Hypertension ◽

Splenic Artery ◽

Splenic Vein ◽

Artery Aneurysm ◽

Normal Liver ◽

Splenic Artery Aneurysm ◽

En Bloc ◽

Artery Ligation ◽

Multiple Aneurysms ◽

Life Threatening

Background. Splenic artery aneurysm is the most common type of visceral aneurysms. They are usually asymptomatic and have a potential for rupture and therefore life-threatening hemorrhage. It is rare for them to cause sinistral portal hypertension.Case Report. A 23-year-old female patient presented to our clinic with gastric varices, splenomegaly, pancytopenia, and normal liver functions. She was thus diagnosed with left-sided portal hypertension. Radiologic evaluation showed splenomegaly, splenic vein obstruction, and multiple aneurysms along the splenic artery ranging from 2.5 cm to 7 cm. Splenic artery aneurysm was thought to be the cause of portal hypertension and hypersplenism. We decided splenectomy is the best course of treatment. Pancytopenia could not be corrected preoperatively despite the transfusion treatment. Surgical exploration revealed multiple aneurysms deeply embedded in pancreas. Thrombocyte and erythrocyte transfusion was performed after splenic artery ligation to correct pancytopenia before further intervention. Splenic artery, spleen, and distal pancreas were resected en bloc. Patient’s blood parameters became normal within first postoperative day. Patient had an uneventful postoperative course and was discharged without incident.Conclusion. Splenic artery aneurysms are rare but potentially life-threatening incidents. Therefore, it is important to know the unusual presentations and prepare accordingly.

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