Splenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcome
Introduction. Splenic artery aneurysms are potentially lethal lesions. We report two illustrative cases and discuss etiology, diagnosis and treatment of these aneurysms. Outline of Cases. Both patients, age 31 and 80 years, were biparous women. The younger woman, otherwise healthy, was refe...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2015-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2015/0370-81791506326P.pdf |
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| author | Pejkić Siniša Tomić Ivan Opačić Dragan Pejinović Luka Grubor Nikica Činara Ilijas Davidović Lazar |
| author_facet | Pejkić Siniša Tomić Ivan Opačić Dragan Pejinović Luka Grubor Nikica Činara Ilijas Davidović Lazar |
| author_sort | Pejkić Siniša |
| collection | DOAJ |
| description | Introduction. Splenic artery aneurysms are potentially lethal lesions. We
report two illustrative cases and discuss etiology, diagnosis and treatment
of these aneurysms. Outline of Cases. Both patients, age 31 and 80 years,
were biparous women. The younger woman, otherwise healthy, was referred from
a local hospital 3 weeks after she underwent a left subcostal laparotomy and
exploration for symptomatic abdominal mass diagnosed by CT. Angiography
established the diagnosis of a large, non-ruptured splenic artery aneurysm.
Elective aneurysmectomy with splenectomy was performed using the approach
through the upper median laparotomy and bursa omentalis. Postoperative course
was uneventful. Histopathology demonstrated cystic medial necrosis with
chronic dissection. The other patient, elderly woman, presented urgently with
acute abdominal pain and syncope and was diagnosed by computed tomography
with a huge, ruptured splenic artery aneurysm. She underwent immediate
aneurysmectomy with splenectomy using the same, above-mentioned approach.
External pancreatic fistula and pancreatic pseudocyst complicated the
postoperative course, requiring open pseudocyst drainage and
cystojejunostomy. After a protracted hospitalization patient eventually
recovered. The pathological diagnosis was atherosclerotic aneurysm.
Conclusion. Splenic artery aneurysms are infrequent lesions, with varied
etiology and clinical presentation. Timely diagnosis and adequate treatment
prevent life-threatening rupture and lessen the risk of operative morbidity
and mortality. [Projekat Ministarstva nauke Republike Srbije, br. 175008] |
| first_indexed | 2024-12-20T00:50:52Z |
| format | Article |
| id | doaj.art-79a664655fd841caaf4dcec6c6671fcd |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-20T00:50:52Z |
| publishDate | 2015-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-79a664655fd841caaf4dcec6c6671fcd2022-12-21T19:59:16ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792015-01-011435-632633110.2298/SARH1506326P0370-81791506326PSplenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcomePejkić Siniša0Tomić Ivan1Opačić Dragan2Pejinović Luka3Grubor Nikica4Činara Ilijas5Davidović Lazar6Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade + School of Medicine, BelgradeClinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade + School of Medicine, BelgradeClinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeClinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeSchool of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Digestive Surgery, BelgradeClinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade + School of Medicine, BelgradeClinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade + School of Medicine, BelgradeIntroduction. Splenic artery aneurysms are potentially lethal lesions. We report two illustrative cases and discuss etiology, diagnosis and treatment of these aneurysms. Outline of Cases. Both patients, age 31 and 80 years, were biparous women. The younger woman, otherwise healthy, was referred from a local hospital 3 weeks after she underwent a left subcostal laparotomy and exploration for symptomatic abdominal mass diagnosed by CT. Angiography established the diagnosis of a large, non-ruptured splenic artery aneurysm. Elective aneurysmectomy with splenectomy was performed using the approach through the upper median laparotomy and bursa omentalis. Postoperative course was uneventful. Histopathology demonstrated cystic medial necrosis with chronic dissection. The other patient, elderly woman, presented urgently with acute abdominal pain and syncope and was diagnosed by computed tomography with a huge, ruptured splenic artery aneurysm. She underwent immediate aneurysmectomy with splenectomy using the same, above-mentioned approach. External pancreatic fistula and pancreatic pseudocyst complicated the postoperative course, requiring open pseudocyst drainage and cystojejunostomy. After a protracted hospitalization patient eventually recovered. The pathological diagnosis was atherosclerotic aneurysm. Conclusion. Splenic artery aneurysms are infrequent lesions, with varied etiology and clinical presentation. Timely diagnosis and adequate treatment prevent life-threatening rupture and lessen the risk of operative morbidity and mortality. [Projekat Ministarstva nauke Republike Srbije, br. 175008]http://www.doiserbia.nb.rs/img/doi/0370-8179/2015/0370-81791506326P.pdfsplenic artery aneurysmaneurysmectomysplenectomypancreatic pseudocyst |
| spellingShingle | Pejkić Siniša Tomić Ivan Opačić Dragan Pejinović Luka Grubor Nikica Činara Ilijas Davidović Lazar Splenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcome Srpski Arhiv za Celokupno Lekarstvo splenic artery aneurysm aneurysmectomy splenectomy pancreatic pseudocyst |
| title | Splenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcome |
| title_full | Splenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcome |
| title_fullStr | Splenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcome |
| title_full_unstemmed | Splenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcome |
| title_short | Splenic artery aneurysms: Two cases of varied etiology, clinical presentation and treatment outcome |
| title_sort | splenic artery aneurysms two cases of varied etiology clinical presentation and treatment outcome |
| topic | splenic artery aneurysm aneurysmectomy splenectomy pancreatic pseudocyst |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2015/0370-81791506326P.pdf |
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