Intrasplenic Arterial Aneurysms during Pregnancy

Abstract

Splenic artery aneurysms account for about 60% of all visceral aneurysms. Pregnancy is a risk factor for splenic artery aneurysms rupture with high maternal mortality and fetal loss. Intrasplenic arterial aneurysms are extremely rare and have not been reported to be associated with pregnancy. This report presents a 34-year-old woman during the second trimester, admitted with severe left upper quadrant and left shoulder pain. She had two uncomplicated intrasplenic aneurysms. Splenectomy was done. She delivered a full term healthy girl. This is the first report of acute abdomen during pregnancy caused by intrasplenic artery aneurysms with maternal and fetal survival.

Prevalence and predictive factors for development of splenic artery aneurysms in cirrhosis

“…But in some cases with SAA, recurrent left upper quadrant pain [10,12,[17][18][19], spontaneous rupture with intraperitoneal hemorrhage [2,4,6,8,19,20], extrahepatic portal hypertension associated with massive splenomegaly [13], nontender pulsatile lump in left upper abdomen [1] and SAA associated with spontaneous splenorenal shunt in noncirrhotic liver [21] have been reported. In our cases with SAA, we did not record any symptoms and signs can be related to SAA.…”

Red flags useful to screen for gastrointestinal and hepatic diseases in patients with shoulder pain: A scoping review

“…Fifty‐eight patients reported comorbidities such as hepato‐gastric diseases, including liver cirrhosis (Delaporte, 2010; Joske, 1978; Seyama et al., 2006), hiatal hernia (Valenzuela et al., 1989), gastroesophageal reflux (Valenzuela et al., 1989) and dysphagia (Delaporte, 2010; Moisset et al., 2013; Valenzuela et al., 1989); cardiac diseases, including angina, hypertension, and myocardial infarctions (Abu‐khalaf et al., 2015; Dartevel et al., 2015; Henderson & Péloquin, 1989; Seyama et al., 2006; Wang et al., 2016); respiratory diseases such as asthma (Sergent et al., 2015); visceral diseases including splenomegaly, Crohn's disease, previous cholecystectomy, and irritable bowel syndrome (Dartevel et al., 2015; Joske, 1978; Sefa et al., 2016; Seyama et al., 2006; Valero et al., 1985); and systemic diseases such as Hepatitis C Virus (HCV) positive, haemophilia, neurological amyotrophy and diabetes (Caldicott et al., 2004; Dartevel et al., 2015; Park et al., 2010; Seyama et al., 2006).…”