Giant Splenic Artery Aneurysm

Long, Charles D.; Bakshi, K R; Kahn, Mark B.; Ab, Roberts

doi:10.1007/bf02002133

Cited by 27 publications

(22 citation statements)

References 13 publications

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“…O sopro, presente ocasionalmente, origina-se da turbulência do fluxo aórtico. Um achado importante é a presença, na palpação, de uma massa pulsátil no quadrante superior esquerdo e epigástrio 2,5 .…”

Section: Discussionunclassified

“…Este exame detecta a massa aneurismática com aderências a outros órgãos adjacentes e doenças associadas. A arteriografia global é necessária por diferentes razões: a) mostra a vascularização do pseudoaneurisma, b) evidencia anomalias vasculares, c) investiga a etiologia como as displasias musculares, d) pode delinear outros aneurismas viscerais 1,2,5 . No presente caso a arteriografia demonstrou o pseudoaneurisma e sua relação com o estômago e baço.…”

Section: Discussionunclassified

“…É caracterizado por dor abdominal aguda no epigástrio e hipocôndrio esquerdo associado a colapso cardiovascular. A ruptura durante a cirurgia também tem sido descrita 1,4,5 . A finalidade do tratamento cirúrgico é a exclusão do pseudoaneurisma por clampeamento vascular.…”

Section: Discussionunclassified

“…A toracofrenolaparotomia pode ser necessária para mais fácil mobilização da víscera abdominal. O baço deve ser preservado sempre que possível pelas complicações bem conhecidas da esplenectomia 1,2,5 . Neste caso realizamos o acesso abdominal, controle do pedículo vascular e liberação completa do baço, que foi removido em monobloco.…”

Section: Discussionunclassified

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Pseudoaneurisma gigante de artéria esplênica

Torres

Costa

Nunes

2004

Rev. Col. Bras. Cir.

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Section: Discussionunclassified

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Pseudoaneurisma gigante de artéria esplênica

Torres

Costa

Nunes

2004

Rev. Col. Bras. Cir.

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“…Surgery in preferred in the following cases 1) pseudo aneurysms causing mass effect in order to rapidly reduce it; 2) infected pseudoaneurysms; 3) cases in which endovascular management has failed [29]. But surgical mortality is approximately 16% for pseudoaneurysms in the head of the pancreas and 50% for lesions in the tail [30].…”

Section: Imaging Featuresmentioning

confidence: 99%

Endovascular Embolization of Pseudoaneurysms Complicating Pancreatitis Using Microcoils: Case Series

Taori¹,

Rathod²,

Disawal³

et al. 2013

OJRad

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Purpose: To determine whether endovascular embolization of pseudoaneurysms complicating pancreatitis with microcoils was associated with better therapeutic outcome. Materials and Method: The prospective clinical study was carried out in the Department of Interventional Radiology for a period of 2 years extending from May 2010 upto August 2012 on 16 male patients in the age group of about 30 -55 years, with each one of them having vascular complications as a sequel to pancreatitis, after obtaining well informed written consent from each one of them. Results: The outcome of the procedure was judged by the following parameters-a) Restoration of the blood pressure of the patient; b) Cessation of the hemetemesis and malena; c) Reduction in abdominal pain and discomfort and d) Overall improvement in the general condition of the patient. Each of the patients had been on follow up for at least 6 months, except 2 of them, with no new complaints in any of them. The procedure related mortality was none. Conclusion: Vascular complications of pancreatitis need immediate and accurate diagnosis and prompt treatment. Micro coil embolisation, is a minimally invasive technique which helps to exclude the pseudoaneurysm from the circulation and thus reduces the scope for massive life threatening internal hemorrhage, and is a better alternative to surgery.

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Common Splanchnic Artery Aneurysms: Splenic, Hepatic, and Celiac

Shanley

Shah

Messina

1996

Annals of Vascular Surgery

259

160

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Aneurysms involving the splanchnic arteries represent an uncommon and potentially lethal form of vascular disease. Because they frequently present as life-threatening clinical emergencies, a clear understanding of the presentation and management of these aneurysms is essential for the practicing vascular surgeon. The purpose of this review was to document recent changes in the diagnosis and management of common splanchnic artery aneurysms. Traditionally the most commonly reported splanchnic artery aneurysms have involved, in decreasing order of frequency, the splenic, hepatic, and celiac arteries.~ We reviewed the English language literature for the past 10 years (1985 to 1995) for reports of these lesions. Interestingly, in contrast to previously published series, aneurysms of the hepatic arteries were the most frequently reported splanchnic artery aneurysms in the past decade. This trend probably relates to the increasing use of percutaneous diagnostic and therapeutic biliary tract procedures. During these procedures, injury to the intrahepatic branches of the hepatic artery can lead to the development of false aneurysms of these vessels. In addition to these iatrogenic false aneurysms, the increased use of diagnostic CT scanning following blunt liver trauma has also led to increased detection of posttraumatic false aneurysms of the intrahepatic arterial

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Giant Splenic Artery Aneurysm

Cited by 27 publications

References 13 publications

Pseudoaneurisma gigante de artéria esplênica

Pseudoaneurisma gigante de artéria esplênica

Endovascular Embolization of Pseudoaneurysms Complicating Pancreatitis Using Microcoils: Case Series

Common Splanchnic Artery Aneurysms: Splenic, Hepatic, and Celiac

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