Splenic Artery Aneurysm Case Report

Abhari, Pouya; Abhari, Sina; Jackson, Anwar; Moustafa, Ahmed S. Zaki; Mercer, Leo; Ashraf, M.

doi:10.1155/2019/8347983

Cited by 7 publications

(16 citation statements)

References 7 publications

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“…SAA is defined as pathological dilation of the splenic artery—more than 1 cm in diameter [ 3 ]. They are the most common visceral artery aneurysms [ 3 ] and the third most common abdominal aneurysms following infrarenal aortic and iliac artery aneurysms [ 4 ]. The risk factors for SAA rupture include pregnancy, multiparity, portal hypertension, atherosclerosis, medial fibrodysplasia, pancreatitis, aneurysm size greater than 2 cm, rapid aneurysmal growth, and liver transplantation [ 1 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…They are four times more common in women than in men [ 3 ]. The incidence of SAA ranges from 0.01% to 0.98%; however, the true incidence is unknown as about 95% of the cases are asymptomatic [ 3 , 4 ]. Only 2 to 3% of these aneurysms rupture, and of those that rupture, about 20 to 40% occur in pregnant women without any comorbidities [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of SAA ranges from 0.01% to 0.98%; however, the true incidence is unknown as about 95% of the cases are asymptomatic [ 3 , 4 ]. Only 2 to 3% of these aneurysms rupture, and of those that rupture, about 20 to 40% occur in pregnant women without any comorbidities [ 4 ]. Pregnancy is an important risk factor for SAA rupture [ 1 ], and its pathogenesis is unclear [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Pregnancy is an important risk factor for SAA rupture [ 1 ], and its pathogenesis is unclear [ 2 ]. SAA rupture is a catastrophic event associated with high maternal mortality (75%) and fetal mortality (95%) [ 3 , 4 ] and most commonly occurs in the third trimester of pregnancy. Hence, surgical interventions are recommended in the first and second trimesters.…”

Section: Introductionmentioning

confidence: 99%

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Management of a Splenic Artery Aneurysm in the Third Trimester of Pregnancy

Zarudskaya

Subash

Tamirisa

et al. 2020

Case Reports in Obstetrics and Gynecology

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Background. Splenic artery aneurysm (SAA) is a rare but potentially fatal complication associated with high maternal and fetal mortality when occurring during pregnancy. Case. A 29-year-old G4P3003 at 34 4/7 weeks of gestation was admitted with left upper quadrant pain and newly diagnosed SAA in the hilum. She was scheduled for embolization of the SAA but the night before went into labor. A multidisciplinary team discussion was held, and the patient underwent successful primary low transverse c-section via Pfannenstiel skin incision followed by laparoscopic splenectomy under general anesthesia. She delivered a male newborn with birth weight of 2855 and Apgar score of 8/5. Summary and Conclusion. Early diagnosis and management of SAA are key for improved maternal and fetal outcomes. Our case demonstrates that through a multidisciplinary approach and anticipation of the possible clinical scenarios, good outcomes can be achieved.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of a Splenic Artery Aneurysm in the Third Trimester of Pregnancy

Zarudskaya

Subash

Tamirisa

et al. 2020

Case Reports in Obstetrics and Gynecology

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“…The break of aneurysm wall usually occurs as a sudden, single stage. Sometimes the rupture can occur in two stages resulting from the initial rupture being contained in the lesser sac before it spreads into the greater sac [4]. This course of the disease is responsible for 20-25% of all cases of splenic artery aneurysm rupture and usually presents as severe abdominal pain with a subsequent period of clinical stability collapse, followed by sudden collapse.…”

Section: Discussionmentioning

confidence: 99%

Hematemesis in Alcoholics: Not Always the Same Problem. A Case Report of Successful Percutaneous Arterial Embolization of Spontaneously Ruptured Splenic Artery Aneurysm Causing Hematemesis, Hematochezia and Hemodynamic Instability

Kordecki¹,

Markowski²,

Baniukiewicz³

et al. 2019

SCR

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The manuscript presents a rare case of overt upper gastrointestinal bleeding initially manifesting as coffee ground vomiting, in a patient who had negative esophagogastroduodenoscopy performed a few hours before. Over the first 30 minutes in the Emergency Department, the patient developed an episode of hematemesis and hematochezia with hemodynamic instability. To identify the source of bleeding, contrast-enhanced computed tomography was performed, which revealed a small aneurysm in the central part of the splenic artery with signs of intrapancreatic rupture. Re-esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater and urgent selective angiography of the celiac trunk confirmed active extravasation of the contrast material into the main pancreatic duct. Successful embolization of the bleeding vessel was obtained by placing two coils in the aneurysm sac and the splenic artery. The presented clinical case draws attention to a rare case of spontaneously ruptured splenic artery aneurysm causing visible only periodically hemosuccus pancreaticus, progressing quickly to a life-threatening condition and requiring firm and fast multi-profile treatment.

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Splenic artery aneurysm in obstetrical patients: A series of four cases with different clinical presentation and outcome

Ornaghi

Crippa

Nicola

et al. 2022

Intl J Gynecology & Obste

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Splenic artery aneurysms (SAA) are defined as more than 1-cm pathologic dilation of the splenic artery. They are the most common type of visceral arterial aneurysms, accounting for approximately 60% of the diagnoses. 1In contrast to other types of arterial aneurysms, SAA are found more frequently in women than in men, with a 4:1 female to male ratio. Of note, 58% of SSA are diagnosed in women of childbearing age. 1 Splenic artery aneurysms are usually asymptomatic or cause nonspecific, mild abdominal symptoms until rupture occurs. 2,3 Rupture is an extremely rare although life-threatening complication of SAA.Interestingly, over half of SAA rupture events occur during pregnancy, especially during the third trimester, or the postpartum period, possibly due to hormonal influences and changes in portal flow. [4][5][6][7][8][9][10]

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Splenic Artery Aneurysm Case Report

Abstract: Splenic artery aneurysm rupture is a rare complication of pregnancy with very high maternal and fetal mortality rate. In this paper, a case of splenic artery aneurysm rupture at 34 weeks of gestation with both maternal and fetal survival is presented.

Cited by 7 publications

References 7 publications

Management of a Splenic Artery Aneurysm in the Third Trimester of Pregnancy

Management of a Splenic Artery Aneurysm in the Third Trimester of Pregnancy

Hematemesis in Alcoholics: Not Always the Same Problem. A Case Report of Successful Percutaneous Arterial Embolization of Spontaneously Ruptured Splenic Artery Aneurysm Causing Hematemesis, Hematochezia and Hemodynamic Instability

Splenic artery aneurysm in obstetrical patients: A series of four cases with different clinical presentation and outcome

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