Giant splenic artery aneurysm treated surgically with spleen and pancreas preservation

Atanasijevic, Igor; Babić, Srdjan; Tanasković, Slobodan; Gajin, Predrag; Ilijevski, Nenad

doi:10.5144/0256-4947.2021.253

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…The small number of cases with this diagnosis shows that multidisciplinary teams are important for better treatment and survival (10,11). Pancreatic pseudoaneurysms with pseudocysts can bring about dangerous, life-threatening complications.…”

Section: Resultsmentioning

confidence: 99%

Coincidence of splenic vein aneurysm and haemorrhagic cyst of the pancreas

Bakos¹,

Jankovic²,

Korcek³

et al. 2022

BLL

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Pseudoaneurysm of the splenic vein is a rare entity which is associated with pancreatitis in 52 % cases. Pseudocysts of the pancreas create approximately 70 % of all cystic lesions of the pancreas. One of the most dangerous complications of pancreatic pseudocysts is bleeding into the cystic lumen. This is caused by perforation of the pseudoaneurysm of the splenic vein. Enzymatic damage of the splenic vein´s wall is the cause of pseudoaneurysm. The clinical condition varies. It can be asymptomatic or bring about haemodynamic instability. The diagnostic process of pseudoaneurysm of the splenic vein is diffi cult. This case study introduces a case of a 50-year-old man with the anamnesis of recurrent pancreatitis caused by alcoholism. He had abdominal pain and was diagnosed with a pseudocyst of the pancreas. Abdominal CT showed an extensive capsulated collection in the left subphrenic space, 23cm in diameter, with serosanguineous content and coagulations. The CT visualised the mass effect on the surrounding tissues and a complete deformation of the spleen. Between the collection and partially oppressed tail of the pancreas there was a venous pseudoaneurysm, 3.5cm in diameter. Considering its localization, it most probably originated from the splenic vein. Surgery was done. We did distal resection of the pancreas with a complete removal of the pseudocyst and spleen (Fig. 7, Ref. 11).

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Section: Resultsmentioning

confidence: 99%

Coincidence of splenic vein aneurysm and haemorrhagic cyst of the pancreas

Bakos¹,

Jankovic²,

Korcek³

et al. 2022

BLL

View full text Add to dashboard Cite

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Giant Splenic Artery Aneurysm – An Analysis of the Recent Literature

Salati,

Rather

2024

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Objective. This article was composed to review the profile of giant splenic artery aneurysm as reported in the recent literature. Methodology. A systematic literature search was conducted through electronic databases and scientific networking sites, including PubMed, Scopus, and Google Scholar, using the key words and terms “giant splenic artery aneurysm”, “large splenic artery aneurysm”, and “huge splenic artery aneurysm”. Only literature in English was considered for inclusion in this study, and the time frame was fixed between 2014 and 2024. Results. 16 cases, including 9 (56.25%) females and 7 (43.75%) males, ranging in age from 35 to 84 years (mean 60.4±13.4 years). Years were included in the review. The size of aneurysm varied from 10 cm to 30.68 cm (mean 12.54±5.32 cm). Upper abdominal pain was the commonest presentation, along with shock and palpable lumps. The majority of the cases (n = 11; 68.7%) were managed by laparotomy, and an endovascular approach was adopted in 4 (25%) cases. Conclusion. Giant splenic artery aneurysm (GSAA) is a rare but potentially life-threatening condition. Physicians need to be aware of this condition so that a diagnosis is made promptly. There is no role of conservative management, and all giant aneurysms need appropriate treatment after detection. Open surgical aneurysmectomy is the mainstay of management.

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The Definition, Diagnosis, and Management of Giant Splenic Artery Aneurysms and Pseudoaneurysms: A Systematic Review

Rinaldi,

Illuminati,

Caronna

et al. 2024

JCM

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Background/Objectives: Giant splenic artery aneurysms (SAAs) and pseudoaneurysms (SAPs) represent rare conditions, characterized by a diameter greater than or equal to 5 cm. The risk of rupture is increased compared to common SAAs and SAPs, necessitating urgent treatments to prevent it. Methods: This systematic review was conducted through a comprehensive search involving the PubMed, Google Scholar, and Scopus databases. A total of 82 patients and 65 articles were included in the analysis. For each patient, we investigated age, sex, symptoms, comorbidities, the presence of a true or a false aneurysm, the dimensional criteria used to define dilations as giant aneurysms or pseudoaneurysms, the dimension of the two greatest diameters, imaging studies, surgical treatment, post-operative length of stay (LOS), and post-operative follow-up. Results: The results revealed a similar incidence in both genders (43 males vs. 39 females) with a median age of 55.79 years. The most frequently described symptom was pain (59.76%). Thirteen cases were false aneurysms and 69 were true aneurysms. The mean greatest diameter was 9.90 cm. The CT scan was the most utilized imaging study (80.49%). Open, endovascular, and hybrid surgery were performed in 47, 26, and 9 patients, respectively, with complication rates of 14.89%, 23.08%, and 22.22% occurring for each treatment. The post-operative LOS was 12.29 days, 2.36 days, and 5 days, respectively. The median follow-up was 17.28 months overall. No recanalization was observed after endovascular procedures during the follow-up period. Conclusions: The dimensional criterion to define SAAs and SAPs as giant was most frequently that at least one diameter was ≥ 5 cm. The CT scan was the most frequently utilized radiological study to diagnose giant SAAs and SAPs. Finally, endovascular procedures, open surgeries, and hybrid treatments presented similar post-operative complication rates. The post-operative LOS was lower for the endovascular group, and the follow-up period did not show aneurysm recanalization in any patients.

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Giant splenic artery aneurysm treated surgically with spleen and pancreas preservation

Cited by 3 publications

References 18 publications

Coincidence of splenic vein aneurysm and haemorrhagic cyst of the pancreas

Coincidence of splenic vein aneurysm and haemorrhagic cyst of the pancreas

Giant Splenic Artery Aneurysm – An Analysis of the Recent Literature

The Definition, Diagnosis, and Management of Giant Splenic Artery Aneurysms and Pseudoaneurysms: A Systematic Review

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