Splenic artery aneurysm in pregnancy: A systematic review

Aung, Yuri Yin‐Moe; Berry, Cameron; Jayaram, Prem Ruben; Woon, Ee Von

doi:10.1002/ijgo.14278

Cited by 7 publications

(2 citation statements)

References 29 publications

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“…Planned cesarean delivery at 34-36 weeks gestation followed by elective SAA embolization will evade extreme premature delivery as well as splenectomy and radiation hazard during pregnancy. However, since SAA has been associated with high mortality and rapid progression in pregnancy [16], it is vital to achieve diagnosis and treatment as soon as possible.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of a large splenic artery aneurysm in a 59-year-old male patient with pemphigus vulgaris: a case report

et al. 2022

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Background There is currently no information on the anatomical risk factors for splenic artery aneurysm rupture, specifically the location or size of the lesion; therefore, reporting this entity to obtain data and ultimately reduce morbidity and mortality is essential. Here we report a case of a male patient with spontaneous rupture of a large splenic artery aneurysm presenting with abdominal pain. Case presentation A 59-year middle-eastern male, with known pemphigus vulgaris presented with a chief complaint of headache and syncope, followed by abdominal pain along with severe metabolic acidosis. A contrast-enhanced computed tomography scan of the abdomen and pelvic showed a splenic artery aneurysm of 33 × 30 mm with a 150 × 90 mm hematoma formation around the aneurysm site. The patient underwent an operation and splenectomy, with confirmation of the diagnosis of ruptured splenic artery aneurysm. Conclusion It is essential to consider splenic aneurysm rupture as a second-line differential diagnosis, especially among patients with comorbid diseases, as this can lead to timely and appropriate lifesaving intervention.

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Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of a large splenic artery aneurysm in a 59-year-old male patient with pemphigus vulgaris: a case report

et al. 2022

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“…Частіше зустрічаються в жінок, ніж у чоловіків (4 : 1) [2]. Ризик смертельних ускладнень становить 25 % та стрімко зростає у вагітних до 75 %, з 95 % вірогідністю смерті плода [3]. Аневризми селезінкової артерії можуть бути пов'язані з аневризмами інших басейнів, що включають інші вісцеральні артерії (3 %) і ниркові артерії (14 %) [4].…”

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Features of Surgical Treatment of Patients with Splenic Artery Aneurysms (Case Report and Literature Review)

Orel

Orel²,

Khorkavyi³

et al. 2022

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Despite the insigniϐicant prevalence, aneurysms of the splenicartery take a dominant share among all visceral aneurysms with a predominance of morbidity in women of childbearing age. Taking into account the mostly asymptomatic course and the high risk of mortality due to its rupture, timely diagnosis and correct treatment strategy remain extremely important. Questions regarding the choice of surgical treatment tactics for patients with this pathology remain debatable. The aim. Demonstration of a clinical case, improvement of diagnosis andsurgical treatment of patients with splenic artery aneurysms. Clinical case. Female patient G., 32 years old, with complaints of periodic pain in the left hypochondrium, signs of portal hypertension against the background of cavernous transformationof the portal vein, history of recurrent bleeding from the esophageal veins, hypersplenism admitted with a pre-diagnosed aneurysm of the splenic artery of giant dimensions (diameter 8x5 cm). The patient was qualified for open surgery and aneurysm resection with splenectomy and spleen autotransplantation by N. Roth. The postoperative period was complicated by the occurrence of reactive pancreatitis on day 7, which was successfully treated conservatively. In the future, the course was unremarkable. The remote follow-up lasted two years, and no recurrence of the aneurysm was detected. The performed immunogram showed normal results. Conclusion. The timely diagnosis makes it possible to establish the correct diagnosis, justify the treatment tactics and prevent fatal complications. Open surgical intervention in somecases remains the method of choice in the treatment of this pathology. Autotransplantation of the spleen has shown good long-term results and can be performed in patients of this category for the prevention of immunodeficiency states.

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Splenic Emergencies

Augustin

2023

Acute Abdomen During Pregnancy

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Splenic artery aneurysm in pregnancy: A systematic review

Cited by 7 publications

References 29 publications

Spontaneous rupture of a large splenic artery aneurysm in a 59-year-old male patient with pemphigus vulgaris: a case report

Spontaneous rupture of a large splenic artery aneurysm in a 59-year-old male patient with pemphigus vulgaris: a case report

Features of Surgical Treatment of Patients with Splenic Artery Aneurysms (Case Report and Literature Review)

Splenic Emergencies

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