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.

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.

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 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 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.

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 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 Management of Splenic Artery Aneurysms during Pregnancy

Acta Medica ◽  
2020 ◽  
Vol 51 (3) ◽  
pp. 44-49
Author(s):  
Nezih Akkapulu ◽  
Derya Karakoç
Keyword(s):  
Splenic Artery ◽  
Recent Literature ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Fetal Mortality ◽  
Visceral Artery Aneurysm ◽  
Diagnostic Features ◽  
In Pregnancy

Splenic artery aneurysms are considered rare; however, they are the most common visceral artery aneurysm in reality. The incidence of splenic artery aneurysm (SAA) increases in pregnancy and may result in significant maternal and fetal mortality if that would develop. This review summarizes etiologic, clinical, and diagnostic features and management of splenic artery aneurysms during pregnancy in the light of recent literature.

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