Splenic Artery Aneurysm in the 1990s

Aneurisma esplénico

“…La ubicación distal está descrita hasta en el 80% de los AAE reportados, lo que concuerda con nuestros hallazgos [2][3][4][5] . Si bien la etiología del AAE sigue siendo poco clara, el principal hallazgo patológico es el defecto de túnica media, con pérdida de fibras elásticas y de musculatura lisa, lo que se asocia a fibrodisplasia de la media, hipertensión portal, trasplante hepático o multiparidad 6,7 .…”

“…Se encuentra en el 0,8% de la población 2 , ocurre principalmente en mujeres con una proporción de 4:1, siendo la edad promedio al diagnóstico de 52 años y presentando 22% de ellos aneurismas múltiples [2][3][4] . Anatómicamente definimos un AAE cuando el diámetro de la arteria esplénica es > 1 cm y compromete las tres capas 5 .…”

Splenic Artery Aneurysms

“…(11), they are also noted to occur in younger patients at a mean age of 52 years. (14) SAAs are usually saccular and less than 2 cm in diameter, with the majority being in the mid or distal portion of the splenic artery or at its bifurcation points. (14) Giant SAAs with diameter larger than 10 cm have been reported, and in contrast to smaller SAAs, these lesions appear to be more common in men.…”

Imaging sketch of bedside ultrasonography to improve the diagnosis of rupture of splenic artery aneurysm

“…In autopsy studies, its incidence ranges from 0.01 to 0.2% and increases to 10% in older patients; 1 also, the incidence is higher in female gender as compared to male gender with a ratio of 4:1. 2 The diagnosis of this disease is clinically difficult without imaging. [3][4][5][6] Due to rarity of this disease, we considered noteworthy to report the imaging, which lies to a diagnosis of SAA in a 58-year-old woman who was admitted to Emergency Room for the rapid onset of epigastric pain, not associated with other symptoms.…”