Ruptured Aneurysm of the Splenic Artery: A Rare Cause of Abdominal Pain after Blunt Trauma

Khoshnevis, J; Lotfollahzadeh, Saran; Sobhiyeh, Mohammadreza; Sepas, Hossein Najd; Nejad, Masomah Abbas; Rahbari, Ali; Behnaz, Nazanin; Mahdi, Zeinab

doi:10.5812/traumamon.8271

Cited by 8 publications

(6 citation statements)

References 11 publications

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“…The aneurismal rupture is the biggest threat to the patients with aneurysm at the initial portion of splenic artery. The aneurismal rupture tends to manifest as acute abdominal pain, which sometimes radiates to the back or shoulder, quick drop of blood pressure and the fast pulse rate, rapidly-progressive hemorrhagic shock or even sudden death [2,14] . Khoshnevis et al [14] reported an incidence of aneurysm rupture of 25% and a mortality rate of 25%-70%.…”

Section: Discussionmentioning

confidence: 99%

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Aneurysm resection and vascular reconstruction for true aneurysm at the initial segment of splenic artery

Chun-xi

Han

Liang

et al. 2015

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

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The aneurysms at the initial segment of splenic artery are rare. This paper aimed to investigate the methods to treat the true aneurysm at the initial segment of splenic artery by aneurysmectomy plus vascular reconstruction. Retrospectively reviewed were 11 cases of true aneurysm at the initial segment of splenic artery who were treated in our hospital from January 2000 to June 2013. All cases were diagnosed by color ultrasonography, computer tomography (CT) and angiography. Upon resection of the aneurysm, the auto-vein transplantation was performed in situ between the hepatic artery and the distal part of the splenic artery in 1 case; the artificial vessel bypass was done between the infra-renal aorta and distal portion of the splenic artery in 7 cases; the splenectomy was done in 2 cases; the splenectomy in combination with ligation of multiple small aneurysms were performed in 1 case. All cases were cured and discharged from the hospital 10-14 days after operation. A 1-14 year follow-up showed that 9 cases survived, and 2 cases died, including 1 case who died of acute myocardial infarction 2 years after aorta-splenic artery bypass operation and 1 case who died of acute cerebral hemorrhage 5 years after aneurysm resection and the splenectomy. Among 6 cases receiving aorta-splenic artery bypass, 1 gradually developed stenosis at anatomosed site, which eventually progressed to complete occlusion 2 years to 6 years after operation, without suffering from splenic infarction because the spleen was supplied by the short gastric vessel and its collaterals. The other 5 cases receiving aorta-splenic artery bypass and 1 case undergoing autologous vascular transplantation did not develop stricture or pseudoaneurysm at the stoma. Our study showed that the aneurysmectomy plus vascular reconstruction is a better treatment for aneurysm at the initial segment of splenic artery.

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Section: Discussionmentioning

confidence: 99%

“…This is especially true when the diameter of an aneurysm is larger than 2 cm and is clinically symptomatic, or when the patient involved is ready for liver transplantation or pregnancy [3,[12][13][14]17] , or when a patient with an aneurysm at the initial portion of splenic artery has concomitant multiple splenic aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Aneurysm resection and vascular reconstruction for true aneurysm at the initial segment of splenic artery

Chun-xi

Han

Liang

et al. 2015

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

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“…22,23 However, in the setting of trauma and emergencies, it is less suitable and instead surgical ligation of the aneurysm is more appropriate. 5 Surgical ligation was performed in almost half of our study population (45%).…”

Section: Treatment Of Splenic Artery Aneurysms In Traumamentioning

confidence: 99%

“…Mortality following rupture is generally between 25% and 70%. 4,5 Therefore, it is very important to recognize these lesions, especially in settings where there is a significant risk of rupture as intervention could be lifesaving.…”

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confidence: 99%

Trauma associated splenic artery aneurysms: an analysis of the National Trauma Data Bank

Nembhard

Hwabejire

Obirieze

et al. 2016

The American Journal of Surgery

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“…Managing patients with VT is crucial [21,22]. These patients should be treated at eth soonest possible [23].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Vascular Trauma and Related Factors in Iran: A Systematic Review

Karimian

Okhli

Noormohammadi-Dehbalaee

et al. 2021

IJMTFM

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Background: Managing patients with Vascular Trauma (VT) is essential. This study aimed to determine the prevalence of VT and its related factors in Iran. Methods: This systematic review was performed by two skilled researchers. To access all the Persian and English articles on VT and its influencing factors (from 2000 to August 2019), in addition to Google Scholar search engine, other international databases, such as PubMed/ Medline, Scopus, Embase, Cochrane Library, Science Direct, Web of Science (ISI), and domestic databases, such as Magiran, IranDoc, National Library of Iran Organization, SID, and Barakatkns were used. Data analysis was conducted by MA (CMA) software. Results: The incidence of lower Lower Vascular Trauma (LVI) trauma was equal to 58.4 (95%CI: 41.1-73.8) (I2= 94.67, Q=112.57, P<0.001); the prevalence of upper LVI trauma was measured to be 31.5 (95%CI: 17.7-49.7) (I2=94.48, Q=108.70, P<0.001); the prevalence of penetrating trauma was calculated as 61.3 (95% CI: 49.5-71.9); the prevalence of ulnar nerve injury equaled 9.8 (95%CI: 2.8-28.6); the prevalence of radial nerve trauma was equal to 7.7 (95%CI: 1.2-35.4); the prevalence of death cases was reported as 12.3 (95%CI: 5.1-26.9); the prevalence of amputation rate was observed as 8.8 (95%CI: 5.7-13.4); the prevalence of fasciotomy rate was equal to 22.2 (95%CI: 13.2-34.5); the prevalence of complete artery cutting equaled 55.7 (95% CI: 35.4-74.3),and the prevalence of incomplete artery cutting was measured as 25.5 (95%CI: 12.1-45.9). Conclusion: According to the study results, VT has led to various complications in patients; thus, it is critical to provide the necessary conditions to preserve the patient’s life and prevent life-threatening complications. Such goals could be achieved by preventing this type of trauma and its related complications.

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Ruptured Aneurysm of the Splenic Artery: A Rare Cause of Abdominal Pain after Blunt Trauma

Cited by 8 publications

References 11 publications

Aneurysm resection and vascular reconstruction for true aneurysm at the initial segment of splenic artery

Aneurysm resection and vascular reconstruction for true aneurysm at the initial segment of splenic artery

Trauma associated splenic artery aneurysms: an analysis of the National Trauma Data Bank

Prevalence of Vascular Trauma and Related Factors in Iran: A Systematic Review

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