Open AccessSplenic artery aneurysm. Report of a case
Author(s) -
Pablo Colsa-Gutiérrez,
Mahgol Kharazmi-Taghavi,
Rocío Daniela Sosa-Medina,
José Manuel Gutiérrez-Cabezas,
Alfredo Ingelmo-Setién
Publication year - 2015
Publication title -
cirugía y cirujanos
Language(s) - English
Resource type - Journals
ISSN - 2444-0507
DOI - 10.1016/j.circen.2015.08.014
Subject(s) - medicine , splenic artery , asymptomatic , aneurysm , surgery , splenic artery aneurysm , artery , abdominal pain , radiology
BackgroundThe incidence of splenic artery aneurysm is not well known because it is often asymptomatic.Clinical caseThe case is presented of a 40-year-old woman diagnosed with a splenic artery aneurysm. She was clinically asymptomatic. A three-dimensional angiographic study was performed. The artery embolisation was rejected, according to the results of the study; thus it was decided to perform a laparoscopic splenic-aneurysmectomy.ConclusionsSplenic artery aneurysms may present with non-specific symptoms, such as abdominal pain or anorexia. However, 2–10% of aneurysms debut as spontaneous rupture. For this reason treatment is indicated in symptomatic aneurysms or those with rupture risk factors. In these cases there are different possibilities, such as therapeutic embolisation, endovascular stenting or surgery. Surgical approach varies depending on the location of the aneurysm in the splenic artery, enabling aneurysmectomy, splenic-aneurysmectomy, or aneurysm exclusion to be performed