Aneurysm of the splenic artery which arises from the superior mesenteric artery: a case report

Aneurysm of the splenic artery which arises from the superior mesenteric artery is a very rare condition with less than twenty cases described in the literature. Most of the time, it is asymptomatic and the diagnosis is fortuitous, but the patient can feel epigastric or left upper quadrant discomfor...

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Bibliographic Details
Published inActa chirurgica belgica Vol. 110; no. 3; p. 332
Main Authors De Cloedt, L, Lavigne, Ch M, Lardinois, F, Periquet, Y, Verhelst, R
Format Journal Article
LanguageEnglish
Published England 01.05.2010
Subjects
Abdominal Pain - etiology
Adult
Aneurysm - diagnostic imaging
Aneurysm - surgery
Female
Humans
Imaging, Three-Dimensional
Ligation
Splenic Artery - abnormalities
Splenic Artery - diagnostic imaging
Splenic Artery - surgery
Tomography, X-Ray Computed
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Summary:Aneurysm of the splenic artery which arises from the superior mesenteric artery is a very rare condition with less than twenty cases described in the literature. Most of the time, it is asymptomatic and the diagnosis is fortuitous, but the patient can feel epigastric or left upper quadrant discomfort. One can palpate an abdominal mass or hear an abdominal systolic murmur. The most fatal presentation is the life-threatening rupture. We report the case of a 41-year-old woman presenting an aneurysm of the splenic artery originating from the superior mesenteric artery treated surgically by simple aneurismal resection with neither arterial reconstruction nor splenectomy. The different treatment modalities are discussed, taking into account the presence of the vascular malformation.
ISSN:0001-5458
DOI:10.1080/00015458.2010.11680627