scholarly journals Case Report: Successful embolisation of a ruptured splenic artery aneurysm in pregnancy

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 291
Author(s):  
Tom Crawley-Smith
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Splenic Artery Aneurysm ◽  
Endovascular Coiling ◽  
Quadrant Pain ◽  
Foetal Mortality ◽  
Emergency Imaging ◽  
The Stability

Background: A case study of a successfully treated rupture of a splenic artery aneurysm during pregnancy, an exceedingly rare condition. The natural history, typical presentation, epidemiology, investigations and available treatments are discussed. Case: A multigravid 37-year-old presented with acute left upper quadrant pain in her twentieth week of pregnancy. After resuscitation and emergency imaging the patient was diagnosed with a ruptured splenic artery aneurysm. Remaining stable after initial resuscitation allowed for endovascular coiling of her aneurysm. Discussion: The presentation of ruptured splenic artery aneurysm is rare. While pregnancy is a risk factor, it represents less than 0.1% of pregnancies. However, when it does present it is associated with a high maternal and foetal mortality rate. In this case the stability of the patient allowed for imaging to confirm the diagnosis and the provision of endovascular coiling of the aneurysm. On review of the literature the condition characteristically is diagnosed at laparotomy.

scholarly journals Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma: a case report

2019 ◽  
Vol 47 (2) ◽  
pp. 1059-1063
Author(s):  
Ganghong Chen ◽  
Jing Yang ◽  
Guangyu Qian ◽  
Kexiang Jiang ◽  
Yanting Lv ◽  
...  
Keyword(s):  
Case Report ◽  
Spontaneous Rupture ◽  
Splenic Artery ◽  
Hypovolemic Shock ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Sudden Onset ◽  
Epithelioid Hemangioendothelioma ◽  
Splenic Artery Aneurysm ◽  
Quadrant Pain

Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma is a rare condition. Splenic artery aneurysm can be complicated by rupture resulting in hypovolemic shock, which can be fatal if not treat properly. We report a case of a 50-year-old man who presented with sudden onset of left upper quadrant pain and shock. This patient underwent splenectomy with distal pancreatectomy. His pathological diagnosis showed splenic epithelioid hemangioendothelioma.

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 Management of a Splenic Artery Aneurysm in the Third Trimester of Pregnancy

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Oxana Zarudskaya ◽  
Madanika Subash ◽  
Anita Tamirisa ◽  
Nikolina Docheva ◽  
Balaji Reddy ◽  
...  
Keyword(s):  
Splenic Artery ◽  
Multidisciplinary Approach ◽  
Artery Aneurysm ◽  
Skin Incision ◽  
Splenic Artery Aneurysm ◽  
Fetal Mortality ◽  
Third Trimester ◽  
Fatal Complication ◽  
Quadrant Pain ◽  
Clinical Scenarios

Background. Splenic artery aneurysm (SAA) is a rare but potentially fatal complication associated with high maternal and fetal mortality when occurring during pregnancy. Case. A 29-year-old G4P3003 at 34 4/7 weeks of gestation was admitted with left upper quadrant pain and newly diagnosed SAA in the hilum. She was scheduled for embolization of the SAA but the night before went into labor. A multidisciplinary team discussion was held, and the patient underwent successful primary low transverse c-section via Pfannenstiel skin incision followed by laparoscopic splenectomy under general anesthesia. She delivered a male newborn with birth weight of 2855 and Apgar score of 8/5. Summary and Conclusion. Early diagnosis and management of SAA are key for improved maternal and fetal outcomes. Our case demonstrates that through a multidisciplinary approach and anticipation of the possible clinical scenarios, good outcomes can be achieved.

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 Circulatory collapse from rupture of splenic artery aneurysm: A case study

2021 ◽  
Vol 50 (1) ◽  
pp. 86-87
Author(s):  
Mervin Ye Qing Tan ◽  
Alexandra Jen Tsao-Yin Wong ◽  
Lwin Aung ◽  
Wei Ming Ng ◽  
Wei Feng Lee ◽  
...  
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Circulatory Collapse

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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