Open AccessPancreatectomy and splenectomy for a splenic aneurysm associated with segmental arterial mediolysis
Author(s) -
Yasuhiro Matsuda,
Kazuki Sakamoto,
Eisei Nishino,
Naoki Kataoka,
Tomoyuki Yamaguchi,
Mitsuhiro Tomita,
Arito Kazi,
Masaru Shinozaki,
Shinichiro Makimoto
Publication year - 2015
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v7.i5.78
Subject(s) - medicine , splenectomy , arterial embolization , aneurysm , surgery , angiography , etiology , embolization , abdominal pain , radiology , splenic infarction , splenic artery , spleen
Segmental arterial mediolysis (SAM) is characterized by intra-abdominal, retroperitoneal bleeding or bowel ischemia, and the etiology is unknown. A 44-year-old man complaining of abdominal pain was admitted to our hospital. He had been admitted for a left renal infarction three days earlier and had a past medical history of cerebral aneurysm with spontaneous remission. The ruptured site of the splenic arterial aneurysm was clear via a celiac angiography, and we treated it using trans-arterial embolization. Unfortunately, the aneurysm reruptured after two weeks, and we successfully treated it with distal pancreatomy and splenectomy. We recommended a close follow-up and prompt radiological or surgical intervention because SAM can enlarge rapidly and rupture.