Vascular Diseases of the Spleen: A Review

Uy, Pearl Princess; Francisco, Denise; Trivedi, Anshu; O'Loughlin, Michael; Wu, George Y.

doi:10.14218/jcth.2016.00062

Cited by 22 publications

(46 citation statements)

References 73 publications

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“…Visceral artery aneurysms are rare, and most are SAAs. They are most commonly seen in patients in their 50s and 60s and show a female predominance [ 1 , 5 ]. The aneurysm is thought to form as a result of degeneration of the arterial wall and deterioration of its elastic structure.…”

Section: Discussionmentioning

confidence: 99%

“…The aneurysm is thought to form as a result of degeneration of the arterial wall and deterioration of its elastic structure. Atherosclerosis, autoimmune pathologies, hypertension, smoking, pancreatitis, portal hypertension, trauma, and collagen tissue diseases have been associated with the formation of aneurysms [ 1 , 4 , 6 ]. Eighty percent of SAA cases are asymptomatic and incidentally detected in radiological evaluations performed for different clinical conditions.…”

Section: Discussionmentioning

confidence: 99%

“…A splenic artery aneurysm (SAA) is a rare condition, in which the diameter of the splenic artery dilates to over 1 cm. SAA rupture is associated with relatively high mortality [ 1 ]. The risk of rupture is increased in cases of pregnancy, pseudoaneurysms, aneurysms with a diameter greater than 2 cm, portal hypertension, symptomatic SAAs, and liver transplantations.…”

Section: Introductionmentioning

confidence: 99%

“…The risk of rupture is increased in cases of pregnancy, pseudoaneurysms, aneurysms with a diameter greater than 2 cm, portal hypertension, symptomatic SAAs, and liver transplantations. In the presence of the aforementioned factors, treatment should take place without delay [ 1 , 2 ]. There is insufficient evidence on the best treatment for SAAs due to the retrospective nature of literature studies and low number of cases [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Spleen-Preserving Surgery in Splenic Artery Aneurysm

Aday

Bozdağ

Gündeş

et al. 2017

Case Reports in Surgery

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Endovascular interventions are increasingly used in the treatment of a splenic artery aneurysm (SAA), which is a rare and life-threatening clinical disorder. However, in cases of SAA rupture, minimally invasive interventions are unsuitable, and open surgery remains the gold standard method. In open surgery, care should be taken to preserve the spleen and its immune function in cases where an arterial segment of sufficient length allows for reconstruction. An SAA was detected in a 51-year-old woman who presented to our polyclinic with left upper quadrant pain. An endovascular intervention was unsuccessful, and open surgery was performed. Approximately 5 cm of aneurysm in the middle segment of the splenic artery was treated by arterial anastomosis, and the spleen was preserved. The patient experienced no postoperative complications and remained asymptomatic at the seventh month of follow-up. The aim of this case report is to emphasize the importance of splenic sparing surgery in cases of SAAs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spleen-Preserving Surgery in Splenic Artery Aneurysm

Aday

Bozdağ

Gündeş

et al. 2017

Case Reports in Surgery

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“…The splenic vein is an unusual site of thrombosis and is often secondary to pancreatic disorders, including pancreatic cancer, acute and chronic pancreatitis, pseudocyst and pancreatic abscess 1 2…”

Section: Answer: Cmentioning

confidence: 99%

Splenic vein thrombosis: rare cause of abdominal pain

Martín-Jiménez¹,

Mera-Gallardo²,

García-Gil³

2019

Emerg Med J

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An 83-year-old woman with a history of hypertension, diabetes and paroxysmal atrial fibrillation anticoagulated with acenocoumarol was brought to the emergency department due to dyspnoea. At admission, the patient reported a 1-week history of malaise, shortness of breath and non-productive cough. She denied fever but reported pain on the left flank. On examination, auscultation showed arrhythmic tones and crackles in the left lower lung field. Laboratory findings showed leucocytosis of 15.32×103/μL, and the C reactive protein was 177 mg/L. The activated partial thromboplastin time was 54.8 s, and the international normalised ratio was 7.09. A chest X-ray showed left lower lobe consolidation with pleural effusion. Point-of-care ultrasound was performed using a low-frequency curved transducer (2–5 MHz). The probe was placed in the left posterior axillary showing a pulmonary consolidation, but also a hypoechoic lesion in the spleen was found (figure 1).Figure 1Ultrasound image of the spleen in longitudinal section demonstrating a large, hypoechoic, wedge-shaped lesion.QuestionWhat is the most likely diagnosis?Splenic abscessSubcapsular splenic haematomaSplenic infarctionSplenic hydatid cystFor answer see page 2

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Splenic artery aneurysm in pregnancy: A systematic review

Aung

Berry

Jayaram

et al. 2022

Intl J Gynecology & Obste

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Visceral artery aneurysms are focal pathologic dilatations arising within the splanchnic arterial circulation, which comprises the celiac artery, the superior and inferior mesenteric arteries, and their branches. 1 Of these, splenic artery aneurysms (SAA) are the most common as they account for 60% of all visceral artery aneurysms, followed by hepatic artery, superior mesenteric artery, and celiac artery aneurysms. 1,2 The estimated prevalence of true SAA varies from 0.01% to 0.2% in the general population. Female gender is an important risk factor as SAA have a 4:1 predominance in women compared with men. [1][2][3]

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Vascular Diseases of the Spleen: A Review

Cited by 22 publications

References 73 publications

Spleen-Preserving Surgery in Splenic Artery Aneurysm

Spleen-Preserving Surgery in Splenic Artery Aneurysm

Splenic vein thrombosis: rare cause of abdominal pain

Splenic artery aneurysm in pregnancy: A systematic review

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