Spontaneous rupture of the splenic artery aneurysm: a rare clinical presentation of acute abdomen.

Aydın, Mehmet Timuçin; Fersahoğlu, Mehmet Mahir; Tezer, Sinan; Okuducu, Mehmet; Ağca, Birol; Memışoğlu, Kemal

doi:10.5505/tjtes.2015.32654

Cited by 7 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abdominal cavity organs diseases (acute and chronic pancreatitis, cholelithiasis, tumors, etc.) have been previously diagnosed in these patients [18,34].…”

Section: Discussionmentioning

confidence: 92%

Aneurysmal Disease of the Main Arteries

Genyk

2016

Arch. clin. med.

View full text Add to dashboard Cite

The high incidence of aneurysms of different arterial systems in case of abdominal aortic aneurysm causes the need for the examination of all patients with aortic aneurysm in order to detect aneurysmal process in all main arteries. The use of the mentioned predictors of aneurism wall failure in daily clinical practice provides an opportunity to improve the results of surgical treatment. Active surgical approach in relation to aortic aneurysm and main arteries is indicated in the presence of aneurismal disease. The choice of treatment depends on the severity of the patient’s condition, clinical manifestations, localization of the aneurysm and its morphology, with the preference for endovascular approach.

show abstract

“…Abdominal cavity organs diseases (acute and chronic pancreatitis, cholelithiasis, tumors, etc.) have been previously diagnosed in these patients [18,34].…”

Section: Discussionmentioning

confidence: 92%

Aneurysmal Disease of the Main Arteries

Genyk

2016

Arch. clin. med.

View full text Add to dashboard Cite

show abstract

“…Spontaneous rupture is associated with high mortality, up to 40% for true aneurysms, and even 90% for PSAs [8,9,10]. In patients with intraperitoneal SAA rupture, acute abdomen and hypovolemic shock, splenectomy and SA ligation are mostly performed [14,15]. Spontaneous rupture is more frequent in true aneurysms > 2 cm making this diameter cut-off point for surgical or endovascular treatment.…”

Section: Discussionmentioning

confidence: 99%

Spleen-preserving surgical treatment of splenic artery aneurysm secondary to chronic pancreatitis and primary biliary cholangitis

et al. 2021

View full text Add to dashboard Cite

Introduction. Splenic artery aneurysm (SAA) represents the third cause of abdominal aneurysms, just after abdominal aorta and iliac arteries aneurysms, with overall prevalence of 1%. Pancreatitis has been linked with pseudoaneurysm formation of SA due to destruction of arterial wall by pancreatic enzymes, however true SAA associated with pancreatitis hasn?t been described yet. We are presenting the first case of true SAA in a patient with chronic pancreatitis and primary biliary cholangitis successfully treated by surgical excision, direct arterial reconstruction and spleen preservation. Case outline. A 74-years-old male patient was admitted for multidetector computed tomography (MDCT) angiography due to suspected SAA and renal artery aneurysm (RAA). He was previously treated for chronic pancreatitis and primary biliary cholangitis. Upon admission, CT arteriography showed SAA 32 mm in diameter and RAA 12 mm with SAA being in direct contact with superior margin of the pancreas. Surgical treatment of SAA was indicated while RAA was treated conservatively. Intraoperatively, SAA adherent to the superior margin of pancreas was noted, followed by complete exclusion of the aneurysm and end-to-end splenic artery anastomosis. Histopathology showed atherosclerotic degeneration of arterial wall with all three layers presenting as true aneurysm. Two years after the surgery control CT angiography showed regular postoperative findings without further progression of RAA. Conclusion. This is the first case to describe a true SAA aneurysm originated on the field of previous episodes of chronic pancreatitis and primary biliary cholangitis. Surgical treatment including aneurysm resection and direct arterial reconstruction with spleen preservation showed satisfactory results.

show abstract

“…In contrast, intragastric bleeding is a common feature of pseudoaneurysms of the splenic artery [20,21] . In case of intraperitoneal rupture of a SAA, the patient presents with acute abdomen and hypovolemic shock [22,23] . In those case SAA rupture may be sudden, or can take place in two stages, which occurs in 20 to 25% of cases [24] .…”

Section: Discussionmentioning

confidence: 99%

Giant splenic artery aneurysm presenting with massive upper gastrointestinal bleeding: A case report and review of literature

Panzera

Inchingolo

Rizzi

et al. 2020

WJG

View full text Add to dashboard Cite

The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016). Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build

show abstract

Spontaneous rupture of the splenic artery aneurysm: a rare clinical presentation of acute abdomen.

Cited by 7 publications

References 9 publications

Aneurysmal Disease of the Main Arteries

Aneurysmal Disease of the Main Arteries

Spleen-preserving surgical treatment of splenic artery aneurysm secondary to chronic pancreatitis and primary biliary cholangitis

Giant splenic artery aneurysm presenting with massive upper gastrointestinal bleeding: A case report and review of literature

Contact Info

Product

Resources

About