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 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.

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 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 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.

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 Conservative Management of a Splenic Artery Aneurysm in Pregnancy: A Case Report

2020 ◽  
Vol 3 ◽  
Author(s):  
Raleene Gatmaitan ◽  
Keagan Werner-Gibbings ◽  
Morad Sallam ◽  
Rachel Bell ◽  
Panos Gkoutzios
Keyword(s):  
Liver Transplantation ◽  
Case Report ◽  
Conservative Management ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Careful Consideration ◽  
Splenic Artery Aneurysm ◽  
Life Threatening ◽  
In Pregnancy ◽  
Viable Treatment

Splenic artery aneurysms (SAA) are a rare and life-threatening pathology. Ruptured SAA has a mortality rate of up to 25%, with increased rates of rupture in pregnancy, pseudoaneurysm, liver transplantation, portal hypertension, symptomatic SAA and diameter >2 cm. Management of SAA in pregnant women is poorly described in the literature, making treatment of these patients difficult. Furthermore, careful consideration of complications for both the mother and the foetus need to be taken into account. This case report demonstrates that conservative management with monthly surveillance MRI can be used as viable treatment option of an asymptomatic 17 mm splenic artery aneurysm in a pregnant woman.

scholarly journals Splenic artery aneurysm as a rare cause of an upper GIT bleed

2019 ◽  
Vol 12 (11) ◽  
pp. e232383
Author(s):  
Nolitha Makapi Tisetso Morare ◽  
Charl Bosman ◽  
Akinwumi Babatunde Ogunrombi
Keyword(s):  
Risk Factors ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Peptic Ulcers ◽  
Common Life ◽  
Bleeding Peptic Ulcers ◽  
Ethanol Abuse ◽  
Life Threatening ◽  
History Of

Upper gastrointestinal bleeding (UGIB) is a common life-threatening presentation in the emergency department. Causes are typically divided into variceal and non-variceal bleeds. Non-variceal pathologies typically include bleeding peptic ulcers, haemorrhagic gastritis and Mallory Weiss Tears. Occassionally, less common pathologies are encountered such as Dieulafoy’s lesions, haemosuccus pancreas, haemobilia or aorto-enteric fistula. The following report documents the case of a 49-year-old man who presented with an UGIB. His risk factors included a history of nonsteroidal anti-inflammatory drug, smoking and ethanol abuse. Despite his typical presentation and risk factors, investigation revealed an unusual and rare pathology. He was found to have a giant splenic artery aneurysm, abutting and eroding the gastric mucosa. Diagnosis was made using a combination of gastro-oesophagoscopy and CT scan. Successful treatment consisted of angio-embolisation of the aneurysm.

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.

Sign in / Sign up

Export Citation Format

Share Document