scholarly journals Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience

2018 ◽  
Vol 8 ◽  
pp. 37 ◽  
Author(s):  
Jacob Therakathu ◽  
Hirenkumar Kamleshkumar Panwala ◽  
Salil Bhargava ◽  
Anu Eapen ◽  
Shyamkumar Nidugala Keshava ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Liver Disease ◽  
Chronic Liver Disease ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Chronic Liver ◽  
Imaging Features ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Picture Archiving And Communication

Aim: The aim of our study was to evaluate the computed tomography (CT) imaging features of splenic artery aneurysm and pseudoaneurysm and to identify the disease conditions related to the same. We also wanted to ascertain any relationship between these associated disease conditions and the imaging features of the aneurysms. Materials and Methods: This retrospective study included patients diagnosed to have splenic artery aneurysms on contrast-enhanced CT examination between January 2001 and January 2016. Data were obtained from the picture archiving and communication system. The size, number, location, morphology, the presence of thrombosis, calcification, and rupture of the aneurysms were evaluated. Results: A total of 45 patients were identified with a mean age of 45 years. Splenic artery aneurysms were idiopathic in 12 (26.6%) patients. In the remaining patients, the main associated disease conditions included pancreatitis 15 (33%), chronic liver disease with portal hypertension 8 (18%), and extrahepatic portal vein obstruction (EHPVO) 6 (13%). Statistically significant findings included the relationship between EHPVO and multiple aneurysms (P = 0.002), chronic liver disease and fusiform aneurysm (P = 0.008), and smaller size of idiopathic aneurysms (P < 0.001). Conclusion: Based on this study, splenic artery aneurysms were associated with a variety of etiologies. The characteristics of the aneurysms such as size, location, and morphology vary with the associated disease conditions. These variations may have implications for the management.

Prevalence, growth rate and complications of splenic artery aneurysms in chronic liver disease patients

VASA ◽  
2020 ◽  
pp. 1-6
Author(s):  
Marcelo Assis Rocha ◽  
Eduardo Saltão Silva Marques ◽  
Layra Ribeiro de Sousa Leão ◽  
Thiago Raspa Freitas Magdalena ◽  
Aline Andrade Dórea ◽  
...  
Keyword(s):  
Growth Rate ◽  
Liver Transplantation ◽  
Liver Disease ◽  
Chronic Liver Disease ◽  
Growth Rates ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Chronic Liver ◽  
Post Transplantation

Summary: Background: Chronic liver disease (CLD) patients are at greater risk for developing splenic artery aneurysm (SAA). Treatment for aneurysms > 2.5 cm in this population is considered. However, the procedure might be challenging in CLD patients, and complications may interfere in liver transplantation. We, therefore, sought to estimate the prevalence, growth rate and complications of SAA in patients with CLD. As secondary objective, we sought to evaluate whether those features differ in pre and post transplantation follow-up and among aneurysms with diameters greater or less than 2.5 cm at diagnosis. Patients and methods: We searched for the terms “SAA” and “CLD” on CT or MRI reports from January 2009 to December 2016. Patients with single examination or less than 6 months follow-up were excluded. Results: Fifty nine out of 2050 CLD patients presented SAA (prevalence of 2.9%). Fifteen patients were excluded (due to exclusion criteria). Forty-four CLD patients (mean age 55.9 years) presented 76 SAA (follow-up median of 27.2 months). Aneurysms presented mean size of 1.5 ± 0.74 cm at diagnosis and growth rate of 0.12 ± 0.14 cm/y. Two (4.5%) patients presented mild complications (aneurysm thrombosis). No significant differences were observed in the growth rates of aneurysms < 2.5 cm and ≥ 2.5 cm or in the initial size and growth rates of aneurysms of patients submitted to and not submitted to liver transplantation. Conclusions: The estimated prevalence of SAA in patients with DLC in the Brazilian population is 2.9% (CI95% 2.2–3.6%). Although SAA in CLD patients are less likely to remain stable and grow faster than in general population, aneurysms are usually diagnosed at smaller size and complications are rare. These findings might support conservative management with close surveillance, especially in smaller aneurysms.

Multidetector CT findings of splenic artery aneurysm in children with chronic liver disease

2008 ◽  
Vol 38 (10) ◽  
pp. 1095-1098 ◽  
Author(s):  
Esra Meltem Kayahan Ulu ◽  
Ismail Kirbas ◽  
Feride Kural Emiroglu ◽  
Banu Cakir ◽  
Ali Harman ◽  
...  
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Splenic Artery ◽  
Multidetector Ct ◽  
Artery Aneurysm ◽  
Chronic Liver ◽  
Splenic Artery Aneurysm ◽  
Ct Findings

scholarly journals A Rare Intrasplenic Varix in a Patient with Chronic Liver Disease and Portal Hypertension

2018 ◽  
Vol 01 (01) ◽  
pp. 060-064
Author(s):  
Sivasundhar Kumarasamy ◽  
Karumuri Srinivas Sekhar ◽  
Malathi Vaithyanathan ◽  
Saravanakumar Sengottaiyan ◽  
Saravanan Thangam Shanmugasundaram
Keyword(s):  
Portal Hypertension ◽  
Liver Disease ◽  
Chronic Liver Disease ◽  
Road Traffic ◽  
Splenic Vein ◽  
Chronic Liver ◽  
Computed Tomographic ◽  
Contrast Enhanced ◽  
Rare Manifestation ◽  
Venous Collaterals

AbstractWe present a rare case of spontaneous intrasplenic varix in a patient with chronic liver disease and portal hypertension. The venous collaterals and presence of portal hypertension was incidentally detected by abdominal contrast-enhanced computed tomographic imaging during evaluation of a suspected abdominal trauma following a road traffic accident. There have been a few reports of splenic vein aneurysms in the extrasplenic location. To the best of our knowledge, this is the first reported case of intrasplenic varix that developed in an adult with chronic liver disease and portal hypertension which is a rare manifestation of a well-known disease.

Diagnosis of Hepatocellular Carcinoma Nodules in Patients With Chronic Liver Disease Using Contrast-Enhanced Sonography

2015 ◽  
Vol 34 (3) ◽  
pp. 423-433 ◽  
Author(s):  
Kunio Suzuki ◽  
Yorihide Okuda ◽  
Makiyo Ota ◽  
Fumiyoshi Kojima ◽  
Masayoshi Horimoto
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Disease ◽  
Chronic Liver Disease ◽  
Chronic Liver ◽  
Contrast Enhanced

scholarly journals Accuracy of Multi-Detector Computed Tomography in Detection of Esophageal Varices in Chronic Liver Disease

2020 ◽  
Vol 9 (1) ◽  
pp. 4-9
Author(s):  
Syeda Zakia Shah ◽  
Umair Ajmal ◽  
Shahabuddin Siddiqui
Keyword(s):  
Computed Tomography ◽  
Liver Disease ◽  
Diagnostic Accuracy ◽  
Chronic Liver Disease ◽  
Esophageal Varices ◽  
Chronic Liver ◽  
Computed Tomography Scan ◽  
Predictive Values ◽  
Tomography Scan ◽  
Multi Detector Computed Tomography

Background: Patients with chronic liver disease should undergo screening endoscopy, but this approach places a heavy burden upon endoscopy units along with other limitations. The aim of this study was to determine the diagnostic accuracy of multi-detector computed tomography scan in detecting esophageal varices taking endoscopy as gold standard.Material and Methods: This cross-sectional study was done from 1st Jan 2018 to 31st Dec 2018 at Department of Radiology, PIMS Hospital Islamabad. A total of 180 patients of both gender with chronic liver disease for at least 12 months were included in this study with an age range of 25-65 years. Patients with active gastrointestinal hemorrhage, hypersensitivity to iodinated contrast agent, chronic renal failure, claustrophobic and pregnant females were excluded. All the patients underwent endoscopy and computed tomography of lower chest and the upper abdomen before and after intravenous contrast administration. Multi detector computed tomography (MDCT) scan findings for esophageal varices were compared with endoscopy findings.Results: In MDCT positive patients (n=102), 98 were true positive and 04 were false positive. Among 78 MDCT negative patients, 07 were false negative, whereas 71 were true negative. Overall sensitivity and specificity were 93.33%, and 94.67% respectively. The positive and negative predictive values were 96.08% and 91.03% respectively, while diagnostic accuracy of MDCT in detecting esophageal varices in chronic liver disease patients was 93.89%, taking endoscopy as gold standard.Conclusions: Multi-detector computed tomography scan is a highly sensitive and accurate non-invasive modality for detecting esophageal varices in chronic liver disease patients.Key words: Accuracy, Chronic liver disease, Esophageal varices, Multi-detector computed tomography

Laparoscopic Ligation of Splenic Artery for Hypersplenism Related to Chronic Liver Disease

2014 ◽  
Vol 4 ◽  
pp. S87
Author(s):  
Hirdaya Nag ◽  
Asit Arora ◽  
Ila Tyagi ◽  
D. Ramaswamy ◽  
Nilesh Patil ◽  
...  
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Splenic Artery ◽  
Chronic Liver
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