Laparoscopic treatment of symptomatic non-ruptered proximal and middle segment splenic artery aneurysm

Abstract

A splenic artery aneurysm is the third most frequent intraabdominal aneurysm, accounting for 60% of all visceral artery aneurysms. There is a rupture rate of 2% with an associated mortality rate of 36%. Treatment of splenic artery aneurysm may include laparotomy, laparoscopy, or endovascular techniques. Excellent results have been reported with laparoscopic techniques recently. Presently described is a case of symptomatic, non-ruptured proximal and middle segment splenic artery aneurysm treated with laparoscopic surgery. A 27-year-old female patient applied to the general surgery polyclinic complaining of abdominal pain and dyspepsia. After evaluating all of the clinical findings, a diagnosis of splenic artery aneurysm was made and a laparoscopic splenectomy and aneurysmectomy were performed. The patient was discharged on postoperative day 8. During the postoperative follow-up period, she recovered very well with no clinical problem.