Splenic artery aneurysm (SAA) is a rare condition in abdominal surgery and the third most abdominal aneurysm after aortic and iliac artery aneurysms. Open surgery during the giant SAA is still the gold standard of treatment. Here we present the case of the giant SAA in a 68-year-old man. He had a pancreatic mass and iron deficiency anemia. The diagnosis was confirmed by ultrasound and CT angiography and showed a pancreatic mass and expansion of the splenic artery more than 3.5 cm. The size of the aneurysm and the clinical picture of the patient were indications for open surgery. The patient was treated by resection of the spleen and distal pancreatectomy with the aneurysmal part of the splenic artery. As far as we know, open surgery is still the best treatment choice, despite some advances in endovascular methods.
Problemin aktuallığı. Müasir şəraitdə vitamin D-nin defisiti bütün yaş dövrlərində aktual problem olaraq qeyd edilir. Ədəbiyyat məlumatlarına görə vitamin D defisiti, kalsium hemostazında, sümük metabolizmində, böyrək xəstəliklərində mühüm əhəmiyyət kəsb edir [1-6].Aparılan tədqiqatlar əsasında təyin edilmişdir ki, sümük xəstəliklərində, piylənmədə, autoimmun xəstəliklərdə, xərçəngdə və reproduktiv orqanların patologiyalarında vitamin D-nin səviyyəsi nəzərə-çarpacaq dərəcədə aşağıdır.Müəyyən olunmuşdur ki, vitamin D defisiti cinsi yetişkənlik dövrün gedişatına, menarxenin başlanma vaxtına təsir edir [5,7,9].Aparılan tədqiqat əsasında müəyyən edilmişdir ki, ilbəil vitamin D defisiti cinsi yetişkənlik dövründə olan qızlarda sürətlə artır. İnkişaf etmiş ölkələrdə yeniyetmə qızların 81,8%-də vitamin D defisiti təyin edilir [10-13].
The MEFV (familial Mediterranean fever gene) researches were performed in the population of the Republic of Azerbaijan in 2016–2021. Seven mutations of the MEFV gene were identified in heterozygous, homozygous and compound homozygous conditions: R761H, M694I, M694V, V726A, R202Q, M680I and E148Q. The E148Q and R202Q mutations were discovered in exon 2 and R761H M694I, M694V, V726A, M680I were found in exon 10 in the population of the Republic of Azerbaijan. The highest gene frequency of the MEFV gene examined in 42 patients was 42.85% in the M694V mutations. The second highest frequency was the R761H and the third most frequent mutation was V726A. According to world literature, five mutations, M694V, V726A, M694I, R202Q, M680I and E148Q, constitute 75.0% of all mutations found today. In our studies, these five mutations belong to the same group, and makes up 57.6% of the total mutations found. In order to prevent hereditary disease such as the familial Mediterranean fever (FMF) in the population of the Republic of Azerbaijan, it is planned to carry out prenatal diagnosis (PND) of the at-risk families.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.