Splenic artery aneurysm

Tcbc-Rj, Rui Antônio Ferreira; Ferreira, Myriam Christina Lopes; Ferreira, Daniel Antônio Lopes; Ferreira, André Gustavo Lopes; Ramos, Flávia Oliveira

doi:10.1590/0100-69912016005005

Cited by 15 publications

(13 citation statements)

References 5 publications

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“…Most SAAs are true aneurysms, with higher representation in women. The main risk factors are female sex, atherosclerosis, arterial hypertension, multiple pregnancies [2]. According to the literature data, 10% of gigantic SAAs (> 5 cm) are associated with liver cirrhosis.…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature data, 10% of gigantic SAAs (> 5 cm) are associated with liver cirrhosis. Around 2.5% of patients have portal hypertension [2,6,13]. Pancreatitis is reported as the main risk factor for the emergency laparotomy to treat sudden rupture and bleeding from splenic artery pseudoaneurysms [6].…”

Section: Discussionmentioning

confidence: 99%

“…In most cases, SAA is asymptomatic. Most of them are discovered on routine examinations or as an incidental finding during the radiological imaging performed for another medical condition [2]. SAA can be diagnosed by abdominal ultrasonography, CT, NMR, and CT angiography [1,4,5].…”

Section: Discussionmentioning

confidence: 99%

“…It occurs more often in women than in men, by a ratio of 4:1. Most aneurysms are less than 2 cm in diameter, saccular and commonly found at the center or the distal part of the splenic artery [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…The main risk factors for lienal artery aneurysm that have been identified are female sex, fibromuscular dysplasia, vascular diseases, multiple pregnancies, and portal hypertension [2,3]. Abdominal ultrasound or Doppler ultrasonography, computed tomography (CT), nuclear magnetic resonance (NMR), selective and CT angiography are used to diagnose this disease [4].…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic splenectomy in the treatment of splenic artery aneurysm - case report and literature review

Milosavljević¹,

Tadić²,

Grubor

et al. 2019

Srp Arh Celok Lek

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Introduction Splenic artery aneurysm is the most common visceral aneurysm with a prevalence of 0.2-10%. It is the third most frequent abdominal aneurysm as well. It can be true or false. It occurs more often in women than in men. We present our experience with a 34-year-old female patient who underwent laparoscopic splenectomy due to the splenic aneurysm located in the splenic hilum. Case outline We present a case of a 34-year-old female patient diagnosed with an enlarged splenic artery during a routine abdominal ultrasound examination. Abdominal scan and computed tomography angiography showed saccular aneurysm of the splenic artery located in the hilum of the spleen, 24 × 17 mm in size. Given the good general condition and age of the patient, we decided to perform laparoscopic splenectomy. The operation was performed without complications, which was also the case with the postoperative flow. The patient was discharged from the hospital on the third postoperative day. Conclusion Laparoscopic splenectomy is a safe and effective modality for the treatment of splenic artery aneurysm, localized in the splenic hilum. Considering all the benefits of minimally invasive surgery, laparoscopic splenectomy should be the treatment of choice, over the classical open approach.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic splenectomy in the treatment of splenic artery aneurysm - case report and literature review

Milosavljević¹,

Tadić²,

Grubor

et al. 2019

Srp Arh Celok Lek

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Surgical management of splenic artery aneurysm

Mesbahi

Zouaghi

Zaafouri

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction Splenic artery aneurysms are a rare arterial disease. They are considered as the most common visceral artery aneurysms and found mostly in multiparous women and patients with portal hypertension. Case presentation We present a case of an unruptured SAA of the hilum in a 58-year-old woman, with vague abdominal pain, treated by open splenectomy. Discussion Splenic artery aneurysms are often difficult to diagnose due to their vague or asymptomatic forms. However, they present a high risk of rupture that may cause fatal hemorrhage and death. Symptomatic artery aneurysms or SAA, larger than 20 mm and aneurysms in pregnant or in women of childbearing age are indications for surgery because of the increased risk of rupture in these patients’ groups. As known generally, the treatment of SAA 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 procedures. Conclusion A multidisciplinary discussion is an important step in choosing the optimal treatment for visceral aneurysms. Surgical approaches should take place especially in cases where splenic perfusion is seriously threatened.

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