Splenic Artery Aneurysm in Pregnancy

Parrish, Jacqueline; Maxwell, Cynthia; Beecroft, R.

doi:10.1016/s1701-2163(15)30153-5

Cited by 17 publications

(25 citation statements)

References 8 publications

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“…8 Very often, ruptured SAA in pregnancy are diagnosed incorrectly, because they present with symptoms (nausea, vomiting, hypotension) that are similar to those of more common obstetric emergencies. 30…”

Section: Etiology and Histologymentioning

confidence: 99%

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Aneurismas de artéria esplênica: história natural e técnicas de tratamento

Mariúba¹

2020

J. vasc. bras.

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True splenic artery aneurysms (SAA) are a rare, but potentially fatal, pathology. They are the third most common type of abdominal aneurysm, after aneurysms of the aorta and of the iliac artery, and account for almost the all aneurysms of visceral arteries. True aneurysms account for 60% of SAA and affect four times as many women as men, generally related to increased incidental or symptomatic findings that coincide with use of ultrasonography in pregnancy. Among pregnant patients, mortality after rupture is 65-75%, with fetal mortality exceeding 90%. There are multiple etiologies and it is believed that hormonal influences and changes in portal flow during gestation play an important role in development of SAA. This review discusses their history, epidemiology, pathophysiology, and diagnosis and current treatment techniques. ResumoAneurismas da artéria esplênica (AAE) verdadeiros são uma patologia rara, mas potencialmente fatal. São o terceiro aneurisma abdominal mais comum, após aneurismas da aorta e da artéria ilíaca, e representam quase todos os aneurismas de artérias viscerais. Os aneurismas verdadeiros são responsáveis por 60% dos AAEs e afetam as mulheres quatro vezes mais do que os homens, geralmente relacionados a uma descoberta incidental ou sintomática aumentada que coincide com o uso da ultrassonografia na gravidez. Em pacientes grávidas, a mortalidade, após a ruptura, é de 65-75%, com mais de 90% de mortalidade fetal. Têm múltiplas etiologias, e acredita-se que as influências hormonais e as alterações do fluxo portal durante a gestação desempenhem um papel importante no desenvolvimento do AAE. Esta revisão discorrerá sobre sua história, epidemiologia, fisiopatologia, diagnóstico, e as técnicas atuais de tratamento. Palavras-chave: aneurisma; artéria esplênica; procedimentos endovasculares. How to cite: Mariúba JVO. Splenic aneurysms: natural history and treatment techniques. J Vasc Bras. 2020;19:e20190058.

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Section: Etiology and Histologymentioning

confidence: 99%

“…45 Prophylactic administration of antibiotics should not be forgotten, since it is recommended for embolizations involving the splenic artery. 30…”

Section: Principles Of Endovascular Treatmentmentioning

confidence: 99%

Aneurismas de artéria esplênica: história natural e técnicas de tratamento

Mariúba¹

2020

J. vasc. bras.

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“…It may be 4 times as common in women, given a hormonal influence. 32 Cirrhosis is also associated with massive splenic artery aneurysm (≥ 5 cm). Although rare, massive splenic artery aneurysm is more frequent in men (the maleto-female ratio is 1.78:1) and has a heightened risk of rupture.…”

Section: Ayoubieh and Alkhalili ■ Case Continued: Ruptured Splenic Armentioning

confidence: 99%

Another complication of cirrhosis

Ayoubieh

Alkhalili

2017

CCJM

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“…Splenic artery aneurysms (SAA) are rare and often are incidental findings on ultrasound examination or autopsy [ 1 , 2 ]. They are four times more common in women than in men [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…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 ]. 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.…”

Section: Introductionmentioning

confidence: 99%

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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Splenic Artery Aneurysm in Pregnancy

Cited by 17 publications

References 8 publications

Aneurismas de artéria esplênica: história natural e técnicas de tratamento

Aneurismas de artéria esplênica: história natural e técnicas de tratamento

Another complication of cirrhosis

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

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