Rupture of a splenic artery aneurysm during pregnancy with maternal and foetal death

2008 ◽  
Vol 48 (4) ◽  
pp. 342-345 ◽  
Author(s):  
Matthew J. Lynch ◽  
Noel W.F. Woodford
Keyword(s):  
Splenic Artery ◽  
Clinical Presentation ◽  
Strong Association ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Foetal Death ◽  
Third Trimester ◽  
Foetal Mortality ◽  
Visceral Artery Aneurysms

Aneurysms of the splenic artery are rare although they are the most common of the so-called visceral artery aneurysms. First described by Beaussier in 1770, approximately 400 cases have now been reported in the literature. There is a strong association with pregnancy and since Corson's first description of the death of a mother in the third trimester from rupture of a splenic artery aneurysm, some 25% of reported cases have involved pregnant women. Arterial rupture is an obstetric emergency and associated with maternal and foetal mortality rates approaching 75% and 95% respectively. There are only 14 reported instances where both mother and baby survived. The clinical presentation is protean and in most cases splenic artery aneurysm is identified unexpectedly at angiography, laparotomy or post-mortem examination.

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.

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.

scholarly journals Splenic artery aneurysm, case series of seven patients

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Javad Salimi ◽  
Zahra Omrani ◽  
Roozbeh Cheraghali
Keyword(s):  
Splenic Artery ◽  
Endovascular Procedures ◽  
Case Series ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Endovascular Techniques ◽  
Hybrid Surgery ◽  
First Choice ◽  
Visceral Artery Aneurysms

Abstract Splenic artery aneurysms (SAA) account for 46–60% of all visceral artery aneurysms. Small SAAs are usually asymptomatic, but giant aneurysms are more likely to cause symptoms and can result in life-threatening complications. Treatment of a splenic artery aneurysms includes laparotomy, laparoscopy or endovascular techniques. Case presentation: In this article, seven interesting cases of splenic artery aneurysms in different size and parts of artery and various interventions (open, endovascular and hybrid surgery) are discussed. Six of the patients were male. Five of them had giant SAAs (≥5 cm). Two patients underwent hybrid surgery. Coil embolization was carried out for one patient. All seven patients discharged with no procedure-related complications. Endovascular procedures considered as a first choice of treatment for splenic artery aneurysm. Open surgery is reserved mostly for the treatment of complications or if the endovascular techniques fail, lack of availability of endovascular procedures or allergy to contrast medium.

scholarly journals Giant splenic artery aneurysm treated surgically with spleen and pancreas preservation

2021 ◽  
Vol 41 (4) ◽  
pp. 253-256
Author(s):  
Igor Atanasijevic ◽  
Srdjan Babic ◽  
Slobodan Tanaskovic ◽  
Predrag Gajin ◽  
Nenad Ilijevski
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Rare Clinical Entity ◽  
Hemodynamic Changes ◽  
Visceral Artery Aneurysms ◽  
Pancreas Preservation ◽  
Aneurysm Development ◽  
Changes In Pregnancy

Aneurysms of the splenic artery represent a rare clinical entity, even though they account for 60-70% of all visceral artery aneurysms. Splenic artery aneurysms larger than 5 cm are extremely rare, and they are considered to be giant. Possible causes of splenic artery aneurysm development include: trauma, hormonal and local hemodynamic changes in pregnancy, portal hypertension, arterial degeneration, infection and postsplenectomy occurrence. Surgical treatment of giant splenic artery aneurysms includes procedures that frequently require pancreatectomy and splenectomy. We present a case of a 10.2 cm giant splenic artery aneurysm, firmly adhered to the pancreas, which was treated surgically, with spleen and pancreas preservation. SIMILAR CASES PUBLISHED: Although many cases on treatment of giant splenic artery aneurysm have been published, the majority have described additional visceral resections associated with aneurysmectomy, which is in contrast with our report. Furthermore, aneurysms reaching 10 cm in size were extremely rare.

scholarly journals A CASE REPORT OF SPLENIC ARTERY ANEURYSM

2020 ◽  
pp. 1-2
Author(s):  
Nina M. Shah ◽  
Swati Mohanty ◽  
Hiral C. Chauhan
Keyword(s):  
Case Report ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Visceral Artery Aneurysms

True splenic artery aneurysms are the most common visceral artery aneurysms, yet are rare lesions seen in 0.1% to 0.8% of cases reviewed by autopsy or angiogram series. Concomitant visceral aneurysms are seen in 3% of cases whereas non visceral aneurysms in 12%.

scholarly journals A Case of Ruptured Splenic Artery Aneurysm in Pregnancy

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Elizabeth K. Corey ◽  
Scott A. Harvey ◽  
Lynnae M. Sauvage ◽  
Justin C. Bohrer
Keyword(s):  
Splenic Artery ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Altered Mental Status ◽  
Splenic Artery Aneurysm ◽  
Fetal Mortality ◽  
Surgical Team ◽  
Third Trimester ◽  
Neurologic Impairment ◽  
Multiparous Female

Background. Rupture of a splenic artery aneurysm is rare complication of pregnancy that is associated with a significant maternal and fetal mortality.Case. A multiparous female presented in the third trimester with hypotension, tachycardia, and altered mental status. A ruptured splenic artery aneurysm was discovered at the time of laparotomy and cesarean delivery. The patient made a full recovery following resection of the aneurysm. The neonate survived but suffered severe neurologic impairment.Conclusion. The diagnosis of ruptured splenic artery aneurysm should be considered in a pregnant woman presenting with signs of intra-abdominal hemorrhage. Early intervention by a multidisciplinary surgical team is key to preserving the life of the mother and fetus.

Laparoscopic aneurysm resection and splenectomy for splenic artery aneurysm in the third trimester of pregnancy

2013 ◽  
Vol 27 (8) ◽  
pp. 2988-2991 ◽  
Author(s):  
Julia Samamé ◽  
Amit Kaul ◽  
Ulises Garza ◽  
Angela Echeverria ◽  
Carlos Galvani
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Third Trimester ◽  
The Third ◽  
Aneurysm Resection

scholarly journals Splenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcome

2015 ◽  
Vol 143 (5-6) ◽  
pp. 326-331 ◽  
Author(s):  
Sinisa Pejkic ◽  
Ivan Tomic ◽  
Dragan Opacic ◽  
Luka Pejinovic ◽  
Nikica Grubor ◽  
...  
Keyword(s):  
Splenic Artery ◽  
Clinical Presentation ◽  
Abdominal Mass ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Cystic Medial Necrosis ◽  
Adequate Treatment ◽  
Postoperative Course ◽  
Atherosclerotic Aneurysm ◽  
Medial Necrosis

Introduction. Splenic artery aneurysms are potentially lethal lesions. We report two illustrative cases and discuss etiology, diagnosis and treatment of these aneurysms. Outline of Cases. Both patients, age 31 and 80 years, were biparous women. The younger woman, otherwise healthy, was referred from a local hospital 3 weeks after she underwent a left subcostal laparotomy and exploration for symptomatic abdominal mass diagnosed by CT. Angiography established the diagnosis of a large, non-ruptured splenic artery aneurysm. Elective aneurysmectomy with splenectomy was performed using the approach through the upper median laparotomy and bursa omentalis. Postoperative course was uneventful. Histopathology demonstrated cystic medial necrosis with chronic dissection. The other patient, elderly woman, presented urgently with acute abdominal pain and syncope and was diagnosed by computed tomography with a huge, ruptured splenic artery aneurysm. She underwent immediate aneurysmectomy with splenectomy using the same, above-mentioned approach. External pancreatic fistula and pancreatic pseudocyst complicated the postoperative course, requiring open pseudocyst drainage and cystojejunostomy. After a protracted hospitalization patient eventually recovered. The pathological diagnosis was atherosclerotic aneurysm. Conclusion. Splenic artery aneurysms are infrequent lesions, with varied etiology and clinical presentation. Timely diagnosis and adequate treatment prevent life-threatening rupture and lessen the risk of operative morbidity and mortality.

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