A Case of Splenic Artery Aneurysm Presenting With İntra-Abdominal Bleeding

Gülhan Ertan Akan; Cengiz Erol; Cenk Ersavaş; Sıla Ulus

A Case of Splenic Artery Aneurysm Presenting With İntra-Abdominal Bleeding

Year 2019, Issue: 1, 101 - 103, 01.03.2019

Gülhan Ertan Akan Cengiz Erol Cenk Ersavaş Sıla Ulus

Abstract

Visceral artery aneurysms are rare pathologies. Splenic Artery Aneurysms SAA are the most common visceral artery aneurysms accounting for 60% to71% of them, with an incidence of 0.7% in the normal population, even though rates as high as 10% have been found on necropsy studies. This aneurysm has a risk of rupture resulting in death. It can be overlooked missed on the imaging modalities when it is thrombosed. Here, we present a case of splenic artery aneurysm, which could be diagnosed with repetitive computed tomography CT examinations because it was partially thrombosed and overlooked in the 1st CT. The aneurysm was treated with blind embolization in correlation with CT

Keywords

Splenic artery aneurysm, thrombosis, rupture, computed tomography

References

1. Abbas MA, Stone WM, Fowl RJ, Gloviczki P, Oldenburg WA, Pairolero PC, et al. Splenic artery aneurysms: two decades experience at Mayo clinic. Ann Vasc Surg 2002;16:442–9. [CrossRef]
2. Trastek VF, Pairolero PC, Bernatz PE. Splenic artery aneurysms. World J Surg 1985;9:378–83. [CrossRef]
3. Goshayeshi L, Vosoghinia H, Rajabzadeh F, Ahadi M, Asadi Sakhmaresi T, Farzanehfar MR. Splenic artery aneurysm as an unusual cause of new onset ascites: a case report. Middle East J Dig Dis 2014;6:37–41.
4. Mentzel HJ, Seidel J, Vogt S, Vogt L, Kaiser WA. Vascular complications (splenic and hepatic artery aneurysms) in the occipital horn syndrome: report of a patient and review of the literature. Pediatr Radiol 1999;29:19–22. [CrossRef]
5. Dolar E, Uslusoy H, Kiyici M, Gurel S, Nak SG, Gulten M, et al. Rupture of the splenic arterial aneurysm due to Behcet’s disease. Rheumatology 2005;44:1327–28. [CrossRef]
6. Messina LM, Shanley CJ. Visceral artery aneurysms. Surg Clin North Am 1997;77:425–42. [CrossRef]
7. Pescarus R, Montreuil B, Bendavid Y. Giant splenic artery aneurysms: case report and review of the literature. J Vasc Surg 2005;42:344–7. [CrossRef]
8. Merlo M, Cumino A, Pecchio A, Carignano G, Mioli PR, Cassolino P. Splenic artery aneurysm. Two successfully operated cases. Minerva Cardioangiol 1998;46:123–6.

İNTRABDOMINAL KANAMA İLE ORTAYA ÇIKAN BİR SPLENİK ARTER ANEVRİZMASI OLGUSU

Year 2019, Issue: 1, 101 - 103, 01.03.2019

Gülhan Ertan Akan Cengiz Erol Cenk Ersavaş Sıla Ulus

Abstract

Visseral arter anevrizmaları nadirdir. Splenik arter anevrizmaları en sık görülen visseral arter anevrizmalarıdır. Rüptür ve ölümcül kanama riski taşırlar. Tromboze olduklarında görüntüleme metodları ile gözden kaçabilirler. Bu yazıda batın içi kanama ile prezente olan, tromboze olması nedeniyle ancak tekrarlayan bilgisayarlı tomografi BT incelemelerde saptanabilen ve anjiografik incelemede yine tromboze olması nedeniyle tespit edilemeyen splenik arter anevrizmasının, BT ile korele olarak körlemesine embolizasyon ile tedavi edilmesini sunmayı amaçladık

Keywords

Splenik arter anevrizması, tromboz, rüptür, bilgisayarlı tomografi

References

1. Abbas MA, Stone WM, Fowl RJ, Gloviczki P, Oldenburg WA, Pairolero PC, et al. Splenic artery aneurysms: two decades experience at Mayo clinic. Ann Vasc Surg 2002;16:442–9. [CrossRef]
2. Trastek VF, Pairolero PC, Bernatz PE. Splenic artery aneurysms. World J Surg 1985;9:378–83. [CrossRef]
3. Goshayeshi L, Vosoghinia H, Rajabzadeh F, Ahadi M, Asadi Sakhmaresi T, Farzanehfar MR. Splenic artery aneurysm as an unusual cause of new onset ascites: a case report. Middle East J Dig Dis 2014;6:37–41.
4. Mentzel HJ, Seidel J, Vogt S, Vogt L, Kaiser WA. Vascular complications (splenic and hepatic artery aneurysms) in the occipital horn syndrome: report of a patient and review of the literature. Pediatr Radiol 1999;29:19–22. [CrossRef]
5. Dolar E, Uslusoy H, Kiyici M, Gurel S, Nak SG, Gulten M, et al. Rupture of the splenic arterial aneurysm due to Behcet’s disease. Rheumatology 2005;44:1327–28. [CrossRef]
6. Messina LM, Shanley CJ. Visceral artery aneurysms. Surg Clin North Am 1997;77:425–42. [CrossRef]
7. Pescarus R, Montreuil B, Bendavid Y. Giant splenic artery aneurysms: case report and review of the literature. J Vasc Surg 2005;42:344–7. [CrossRef]
8. Merlo M, Cumino A, Pecchio A, Carignano G, Mioli PR, Cassolino P. Splenic artery aneurysm. Two successfully operated cases. Minerva Cardioangiol 1998;46:123–6.

There are 8 citations in total.

Details

Primary Language	English
Journal Section	Research Article
Authors	Gülhan Ertan Akan Cengiz Erol Cenk Ersavaş Sıla Ulus
Publication Date	March 1, 2019
Published in Issue	Year 2019Issue: 1

Cite

EndNote	Akan GE, Erol C, Ersavaş C, Ulus S (March 1, 2019) A Case of Splenic Artery Aneurysm Presenting With İntra-Abdominal Bleeding. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 1 101–103.