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.

scholarly journals Splenic artery aneurysm

2016 ◽  
Vol 43 (5) ◽  
pp. 398-400 ◽  
Author(s):  
RUI ANTÔNIO FERREIRA, TCBC-RJ ◽  
MYRIAM CHRISTINA LOPES FERREIRA ◽  
DANIEL ANTÔNIO LOPES FERREIRA ◽  
ANDRÉ GUSTAVO LOPES FERREIRA ◽  
FLÁVIA OLIVEIRA RAMOS
Keyword(s):  
Portal Hypertension ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Female Gender ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Childbearing Age ◽  
Artery Ligation ◽  
Visceral Artery Aneurysms ◽  
Multiparous Women

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.

Rupture of Splenic Artery Aneurysm With Portal Hypertension During Pregnancy: A Case Report

2006 ◽  
Vol 28 (4) ◽  
pp. 302-304 ◽  
Author(s):  
Shahla Chaichian ◽  
Abolfazl Mehdizadeh ◽  
Abdolrasoul Akbarian ◽  
Bahram Groohi ◽  
Nazila Khanahmadi ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Hypertension ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm

scholarly journals Gastrointestinal Hemorrhage Due to Splenic Artery Aneurysm Pancreatic Duct Fistula in Chronic Pancreatitis

HPB Surgery ◽  
1993 ◽  
Vol 7 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Christian Seiler ◽  
Leslie H. Blumgart
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Gastrointestinal Hemorrhage ◽  
Splenic Artery ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Life Threatening ◽  
Threatening Situation

Gastrointestinal hemorrhage due to splenic artery aneurysm pancreatic duct fistula in chronic pancreatitis is rare. It is, however, important to diagnose this condition particularly in patients having chronic pancreatitis, since it may result in a life-threatening situation. The diagnosis is usually difficult to establish and it may take repeated admissions for intermittent gastrointestinal bleeding until the real source is recognized. Clinical attacks of epigastric pain followed by GI-bleeding 30–40 minutes later are characteristic. Occasionally these attacks are followed by transient jaundice. The present case report describes this rare complication and reviews the current literature.

En bloc resection in giant bilobed splenic artery aneurysm

2021 ◽  
Vol 14 (9) ◽  
pp. e244319
Author(s):  
Venu Bhargava Mulpuri ◽  
Jayanta Samanta ◽  
Pankaj Gupta ◽  
Vikas Gupta
Keyword(s):  
Early Detection ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Morbidity And Mortality ◽  
Splenic Artery Aneurysm ◽  
High Morbidity ◽  
En Bloc ◽  
Distal Pancreas

Giant splenic artery aneurysms are rare and associated with high morbidity and mortality. Early detection is the key to decreasing morbidity and mortality. We present a giant splenic artery aneurysm which was managed by en bloc resection of the spleen, distal pancreas.

scholarly journals The therapeutic challenge of giant splenic artery aneurysm: a case repport

2017 ◽  
Vol 15 (3) ◽  
pp. 359-362 ◽  
Author(s):  
Paulo Kauffman ◽  
Antonio Luiz de Vasconcellos Macedo ◽  
Roberto Sacilotto ◽  
Adriano Tachibana ◽  
Sergio Kuzniec ◽  
...  
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Abdominal Ultrasound ◽  
Celiac Artery ◽  
Splenic Artery Aneurysm ◽  
Ultrasound Finding ◽  
Large Tumor ◽  
Life Threatening ◽  
Conventional Open Surgery

ABSTRACT Giant splenic artery aneurysm is a rare condition that represents an eminent life threatening for the patient, requiring, therefore, urgent surgical correction. A 61-year-old woman, former smoker, hypertensive, hypercholesterolemic and multipara sought our service because of a large tumor in the mesogastrium, which was an abdominal ultrasound finding. Despite the size of the tumor, the patient was asymptomatic. The angiotomography and the magnetic resonance image of the abdomen were suggestive of giant splenic artery aneurysm with more than 10cm in diameter that was confirmed by an angiography. She underwent surgery, open splenectomy, and partial aneurysmectomy. The approach of the celiac artery, which was ligated, was only possible with medialvisceral rotation because there was no possibility to view it through the anterior access. The histopathological test of aneurysmatic wall revealed atheroma plaques in the intima. The patient progressed without complications and she was discharged cured. In general, giant splenic artery aneurysms are symptomatic, however, as in the case we report, it may be asymptomatic and found in abdominal imaging exam. Although less invasive Interventional methods exist, such as laparoscopy and endovascular techniques, they were considered inappropriate in this case. Conventional open surgery should be the therapy of choice for a giant splenic artery aneurysm.

scholarly journals Surgical treatment of big splenic artery aneurysm: Case report

2009 ◽  
Vol 62 (7-8) ◽  
pp. 363-368
Author(s):  
Milos Kacanski ◽  
Vladimir Markovic ◽  
Janko Pasternak ◽  
Vladan Popovic ◽  
Jovan Pfau ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Transplantation Surgery ◽  
Life Threatening ◽  
Omental Bursa ◽  
Novi Sad ◽  
Chevron Incision

An aneurysm has been defined as a permanent local dilatation of the diameter of an artery by at least 50% of its normal value. A splenic artery aneurysm is most frequently a visceral artery aneurysm and clinically it is usually asymptomatic but potentially life-threatening at the same time, with the incidence of its rupturing being 2-10% and then the mortality rate ranges from 20 to 36%. A 51-year-old female patient was admitted to the Department of Vascular and Transplantation Surgery in Novi Sad having been found to have a big splenic artery aneurysm during the ultrasound examination of her abdomen after cholecystectomy. The additional diagnostic procedure - computerized tomography of the abdomen with i.v contrast subtraction angiography-confirmed the splenic artery aneurysm to have the diameter of 5 cm and therefore the elective surgical treatment was indicated after the preoperative preparation and risk assessment. The aneurysm was exposed through Chevron incision, and the detailed surgical exploration was done after the omental bursa had been opened. The aneurysmectomy and the reconstruction of the splenic artery by the termino-terminal anastomosis were performed after the weakening of the wall had been verified. The biopsies of the liver and the aneurysmal sac were done during the surgery. The pathohistological finding confirmed the atherosclerotic etiology of the aneurysm. Since the postoperative course was normal, the patient was discharged on the eighth postoperative day.

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.

Spontaneous rupture of a splenic artery aneurysm during the third trimester of pregnancy

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Nuri Peker ◽  
Nazif Harun Vicdanlı ◽  
Ahmet Demir ◽  
Mehmet Buğra Bozan ◽  
Savaş Gündoğan
Keyword(s):  
Maternal Death ◽  
Spontaneous Rupture ◽  
Splenic Artery ◽  
Strong Association ◽  
Hypovolemic Shock ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Third Trimester ◽  
Life Threatening ◽  
Threatening Situation

Abstract Spontaneous rupture of a splenic artery aneurysm (SAA) during pregnancy is a rare but life-threatening situation typically presenting with sudden and unexpected fetal and maternal death. The etiology is unclear; however, there is a strong association between pregnancy and the rupture of a SAA. Maternal and fetal prognosis is poor and mortality rates remain at 70% and 90%, respectively. Here, we present a case report of the spontaneous rupture of a SAA at the 35th week of gestation, which presented as suddenly developed hypovolemic shock ending in fetal and maternal death.

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