Incidental Splenic Artery Aneurysm during Laparoscopic Gastric Banding

Open splenic artery aneurysm repair in a patient with previous laparoscopic sleeve gastrectomy

“…A few cases of pseudoaneurysms that likely developed as complications from bariatric surgery have been reported in the literature 8–13. A case of a true SAA found incidentally during a gastric banding procedure has also been reported 14. However, no cases have been reported of a patient with a history of LSG and a true aneurysm thought to be unrelated to previous bariatric surgery.…”

Left gastric artery pseudo-aneurysm post sleeve gastrectomy: A case report

“…Common risk factors for pseudo-aneurysm include, infection, trauma, neoplasm, inflammation and surgery [ 3 , 5 , 8 ]. Splanchnic artery pseudo-aneurysms are rarely seen following abdominal surgeries, occurring most commonly in the splenic artery, hepatic artery, superior mesenteric artery, and celiac trunk [ 6 , 8 ].…”

“…Angiography proved to be the best diagnostic modality for hemodynamically stable patients [ 4 , 5 , [9] , [10] , [11] , [12] , [13] ]. Additional diagnostic modalities include CT-scan and gastroscopy [ 3 ].…”

“…Hence high index of suspicion is mandatory in patients presenting with hematemesis post laparoscopic band surgery to rule out a life-threatening etiology as gastric artery pseudo-aneurysm. In addition, Sorensen et al showed that splenic artery is another victim post gastric band surgery where pseudo-aneurysm is reported and managed by clipping [ 5 ]. And it is shown that splenic artery aneurysm is the most common among splanchnic artery aneurysms [ 6 ].…”