Spontaneous Rupture of a Huge Splenic Artery Aneurysm: A Case Report

Παραράς, Νικόλαος; Rajendiran, Saravanan; Taha, Imad; Powar, Rahul Ramachandra; Holguera, Carlos; Tadros, Ezzat

doi:10.12659/ajcr.919956

Cited by 9 publications

(9 citation statements)

References 28 publications

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“…Splenic artery aneurysms were first described in 1770 by Beaussier in autopsies. More than a hundred years passed before the first preoperative diagnosis was made, in 1920 by Hoegler, and it was only in 1940 that the first surgical intervention was described [ 4 , 6 ]. Around 80% of splenic artery aneurysms are asymptomatic and diagnosed incidentally during imaging studies [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Splenic Artery Aneurysm

Carvalho,

Mendes,

Pereira-Macedo

et al. 2023

Cureus

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Splenic artery aneurysms are rare and usually asymptomatic, with a high risk of mortality once they get ruptured. A case report of a spontaneous rupture of a splenic artery aneurysm in a 65-year-old female is reported.The patient presented in the emergency department with abdominal pain, nausea, and vomiting, followed by syncope. A contrast-enhanced CT scan was performed and showed a splenic artery aneurysm measuring 40 × 35 mm surrounded by a hematoma. The patient was submitted to emergency laparotomy with ligation of the splenic artery, aneurysm resection, and splenectomy. There were no surgical complications, and the patient was discharged home on the fifth postoperative day.A rupture of a splenic aneurysm is a rare condition with a high mortality rate and should be considered a differential diagnosis in a patient with abdominal pain and hemodynamic instability.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Splenic Artery Aneurysm

Carvalho,

Mendes,

Pereira-Macedo

et al. 2023

Cureus

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“…Manifestations, if present, tend to be nonspeci c, often involving epigastric and left-upper quadrant abdominal pain [3].…”

Section: Case Presentationmentioning

confidence: 99%

“…Rupture, reported in 3 to 10% of all splenic aneurysms, can induce a dramatic hypotensive shock with a notable mortality rate [3]. Rupture risk correlates with factors such as aneurysm size, pregnancy, cirrhosis, and liver transplantation, with an aneurysm exceeding 2 cm in diameter considered predisposed to rupture [1].…”

Section: Case Presentationmentioning

confidence: 99%

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Endovascular treatment of splenic artery aneurysm rupture - Case Report

Carvalho,

Mendes,

Macedo-Oliveira

et al. 2023

Preprint

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Background Splenic artery aneurysm is a rare vascular pathology but is the most common visceral arterial aneurysm. Most of them are asymptomatic and diagnosed incidentally but can quickly become life-threatening when ruptured. This is a rare case of a spontaneous splenic artery aneurysm rupture in a high-risk patient for surgery and endovascular treatment was the only option to save patient’s life. Case presentation We report a 70-year-old woman with multiple comorbidities, presenting to the emergency department with signs of shock: confusion, pallor, tachycardia and hypotension. Computed tomography shows an active bleeding from a splenic artery aneurysm rupture. She was successfully submitted to emergent arterial embolization of the splenic artery aneurysm and discharged from hospital a few days later. Conclusions Endovascular treatment is a less aggressive approach and should be considered in high-risk patients for surgical treatment. This is a case that shows the importance of immediate diagnosis and treatment is the only option to save patient’s life.

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“…However, before a definite pathological diagnosis is made, making a suspected diagnosis of ADHD based on clinical manifestations alone is challenging because common intestinal disorders can present with these similarly[ 9 ]. Although many studies have reported patients presenting to the ED with recurrent abdominal symptoms for a number of disorders[ 10 - 13 ], there are few data involving ADHD. It is hard for most ED doctors to associate common abdominal symptoms with ADHD specifically.…”

Section: Introductionmentioning

confidence: 99%

Adult patients with allied disorders of Hirschsprung’s disease in emergency department: An 11-year retrospective study

Jiang¹,

Song²,

Feng³

et al. 2022

WJGS

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BACKGROUND In the past years, only a few studies with a limited number of adult patients analyzed clinical features of allied disorders of Hirschsprung’s disease (ADHD), most of which were individual case reports or lacked detailed clinical information. Although many studies have reported patients presenting to the emergency department (ED) with recurrent abdominal symptoms for a number of disorders, there are few data involving ADHD. However, owing to a lack of awareness of the disease, misdiagnoses and mistreatments are common. Severe complications such as perforation, bleeding, malabsorption, and even death in ADHD had been reported by many studies. AIM To assist ED clinicians in having a more comprehensive understanding of this disease and making an early suspected diagnosis of ADHD more effectively. METHODS We enrolled 53 patients who visited the ED and were eventually diagnosed with ADHD over the past 11 years in our hospital. Their basic information, clinical manifestations, and imaging findings were analyzed. Blood indices were compared between the ADHD and irritable bowel syndrome (IBS) groups. RESULTS Adult patients with ADHD had a mean age of 48.8 ± 14.3 years, and 77.4% had been treated before admission. The transverse colon was the most common dilated part (73.6%), and constipation (67.9%) was the most common symptom. ADHD patients can present with uncommon symptoms and false-negative imaging findings. Logistic regression analysis indicated that body mass index (BMI) [odds ratio (OR) = 0.786, P = 0.013], cholinesterase (per 1000 units; OR = 0.693, P = 0.008), and blood chlorine (OR = 0.816, P = 0.022) were determined to be independent related factors between the ADHD and IBS groups. The area under the receiver operating characteristics curve of these three indices combined was 0.812 ( P < 0.001). CONCLUSION Emergency physicians should be vigilant regarding patients with chronic constipation, abdominal pain, or abdominal distension, and consider the possibility of ADHD despite its rarity. Abdominal computed tomography examination is recommended as a useful tool in the suspected diagnosis of ADHD. BMI, cholinesterase, and blood chlorine have good discriminative abilities between ADHD and IBS. The nutritional status of adult patients with ADHD is worthy of further attention. Surgical treatment for adult patients with ADHD is important and inevitable.

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Spontaneous Rupture of a Huge Splenic Artery Aneurysm: A Case Report

Cited by 9 publications

References 28 publications

Spontaneous Rupture of Splenic Artery Aneurysm

Spontaneous Rupture of Splenic Artery Aneurysm

Endovascular treatment of splenic artery aneurysm rupture - Case Report

Adult patients with allied disorders of Hirschsprung’s disease in emergency department: An 11-year retrospective study

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