scholarly journals Splenic Artery Aneurysm Presenting as Extrahepatic Portal Vein Obstruction: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
T. P. Elamurugan ◽  
S. Suresh Kumar ◽  
R. Muthukumarassamy ◽  
Vikram Kate
Keyword(s):  
Splenic Artery ◽  
Splenic Vein ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Extrahepatic Portal Vein Obstruction ◽  
Rare Presentation ◽  
Vein Thrombosis ◽  
Variceal Bleed ◽  
Portal Vein Obstruction ◽  
Acute Rupture

Splenic artery aneurysms are the most common visceral aneurysm occuring predominantly in females. They are usually asymptomatic, and the symptomatic presentation includes chronic abdominal pain of varied severity or an acute rupture with hypotension. Splenic artery aneurysm causing extrahepatic portal hypertension is very rare and is due to splenic vein thrombosis that develops secondary to compression by the aneurysm. We report one such rare presentation of splenic artery aneurysms in a pregnant female with the features of EHPVO (variceal bleed, hypersplenism) treated by splenectomy along with excision of the aneurysm.

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

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
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.

Splanchnic vein closures

2019 ◽  
Vol 98 (6) ◽  
pp. 239-244
Keyword(s):  
Portal Vein ◽  
Surgical Approach ◽  
Medical Problem ◽  
Budd Chiari Syndrome ◽  
Extrahepatic Portal Vein Obstruction ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Portal Vein Obstruction ◽  
Chiari Syndrome ◽  
Outflow System

Closures in the splanchnic venous system (SVS) represent a broad medical problem. Anatomically, individual or even multiple sections of SVS may be affected at the same time. Main sections of SVS include the venous liver outflow system, the portal vein, and the upper mesenteric vein and its basin. Thrombosis is clearly the predominant cause of closure. The closures can present as acute, subacute, chronic occult or chronic manifest. The main pathological and anatomical units are the Budd-Chiari syndrome (BCS), extrahepatic portal vein obstruction (EHPVO) and mesenteric vein thrombosis (MVT). Advanced laboratory, imaging and intervention methods substantially modify the approach to prevention, diagnosis and treatment; surgical approach also plays a role. The problem of SVS closures is interdisciplinary.

scholarly journals Incidental Splenic Artery Aneurysm

2002 ◽  
Vol 95 (9) ◽  
pp. 460-461 ◽  
Author(s):  
R Kenningham ◽  
M J Hershman ◽  
R G Mcwilliams ◽  
F Campbell
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm

scholarly journals Splenic artery aneurysm in Sjögren’s syndrome

2019 ◽  
Vol 89 (2) ◽  
Author(s):  
Cuneyt Tetikkurt ◽  
Zeynep Ferhan Ozseker ◽  
Fatma Gülsüm Karakaş
Keyword(s):  
Sjögren’S Syndrome ◽  
Splenic Artery ◽  
Sjögren's Syndrome ◽  
Pulmonary Function Tests ◽  
Artery Aneurysm ◽  
Sjogren’S Syndrome ◽  
Sjogren's Syndrome ◽  
Splenic Artery Aneurysm ◽  
Arterial Blood ◽  
Sjögren‘S Syndrome

A 40-year-old female presented with cough, exertional dyspnea, abdominal pain with distention, fatigue, dry eyes and dry mouth. Past history revealed asthma. Physical examination was normal except for tachypnea. We found leukocytosis, azygos fissure on chest X-ray along with normal pulmonary function tests and arterial blood gases.  Thorax computed tomography (CT) revealed bronchiectasis and ground glass opacities in both lungs. Abdominal CT demonstrated thrombosed proximal splenic artery aneurysm. Further diagnostic procedures were done and according to the positive Schirmer test and compatible histopathologic findings of the salivary gland, diagnosis of primary Sjögren’s syndrome was established. Splenic artery aneurysm is rare occurring in less than 1% of the population that usually appears as an incidental finding. This is the first case in literature that introduces Sjögren’s syndrome as a risk factor for splenic artery aneurysm. The silent presentation of the splenic artery aneurysm should previse the clinicians that such an occurrence may cause a significant diagnostic dilemma.

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