Table of Contents
What size splenic artery aneurysm requires surgery?
In the absence of guidelines, the main recommended indications for intervention of splenic artery aneurysm are rupture, aneurysm size larger than 2 or 2.5 cm, growth of the aneurysm by 3 to 5 mm or more during surveillance regardless of initial size, symptoms, women of childbearing age, portal hypertension, and planned …
What causes splenic artery pseudoaneurysm?
Splenic artery pseudoaneurysm is a rare entity. Clinical diagnosis is challenging because presentation is often varied. It can range from an incidental finding to hemodynamic collapse from sudden rupture and bleeding. The most common cause of this condition is pancreatitis.
How do you get a splenic artery aneurysm?
Splenic artery pseudoaneurysms are thought to be caused by pancreatitis, abdominal trauma, postoperative cases of liver transplant and rarely peptic ulcer disease. The most common cause is considered to be chronic pancreatitis.
What kind of doctor operates on a splenic artery aneurysm?
Aneurisms of the splenic artery are rare clinical findings. Surgeons and interventional radiologists should co‐operate in the management of this challenging disease; we describe here a surgical option.
What is splenic artery aneurysm?
Splenic artery aneurysm is defined as a condition where there is a focal dilation in the diameter of the splenic artery that is 50% greater than the normal vessel diameter. This is the most common visceral artery aneurysm reported making up about 60% to 70% of patients diagnosed with visceral artery aneurysms.
When do you fix a splenic artery aneurysm?
The indications for treating SAA include symptomatic aneurysms, an aneurysm larger than 2 cm, and aneurysms in woman who are pregnant or of childbearing age, since these aneurysms are associated with a high incidence of rupture.
How common is splenic aneurysm?
Splenic artery aneurysm occurs in approximately 0.1% of all adults. It is estimated that 6% to 10% of splenic artery aneurysms will rupture, and 25% to 40% of those ruptures will occur during pregnancy, especially during the third trimester. Risk factors for rupture include portal hypertension and pregnancy.
How do u get a splenic aneurysm?
How do you treat a splenic artery aneurysm?
Fusiform true aneurysms are better treated with a stent graft (covered stent), while tortuous, saccular aneurysms are treated with aneurysmal coiling techniques. Pseudoaneurysms can be treated with embolization using liquid embolic agents to thrombose the inflow and outflow arteries or filling the sac itself.
Can a splenic artery aneurysm cause peripartum collapse?
Splenic artery aneurysm rupture: a rare but fatal cause for peripartum collapse Splenic artery aneurysm (SAA) is the most common (60%) of all visceral artery aneurysms.
What is the presentation of splenic artery aneurysm (SAA)?
Splenic artery aneurysm (SAA) is the most common (60%) of all visceral artery aneurysms. The majority of these cases are asymptomatic, but the presentation of their rupture can vary from abdominal/chest pain to cardiovascular collapse (Sadat U, Dar O, Walsh S, Varty K. Splenic artery aneurysms in pr …
How does the incidence of a splenic artery aneurysm vary by sex?
a splenic artery aneurysm is about four times more common in females, yet the risk of its rupture is about three times more common in males 13.
What is the history of splenic artery aneurysm?
A splenic artery aneurysm was described for the first time in 1770 by Beaussier,4but surgical repair was only described for the first time almost two centuries later, by MacLeod and Maurice5, in 1940. Hoegler was the first to diagnose this type of injury preoperatively with X-rays, in 1920, as cited by Akbulut and Otan1.