Multiple Giant Splenic Artery Aneurysms with Hypersplenism and Portal Hypertension: A Case Report
Multiple giant splenic artery aneurysms (>10 cm in diameter) are rare. We report a patient presenting with these aneurysms who had also associated portal hypertension and massive splenomegaly. Almost all the aneurysms were sealed by endovascular means at the first stage. Later, for the residual a...
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| Published in | Annals of Vascular Diseases Vol. 12; no. 2; pp. 250 - 252 |
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| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Editorial Committee of Annals of Vascular Diseases
25.06.2019
Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1881-641X 1881-6428 |
| DOI | 10.3400/avd.cr.19-00021 |
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| Abstract | Multiple giant splenic artery aneurysms (>10 cm in diameter) are rare. We report a patient presenting with these aneurysms who had also associated portal hypertension and massive splenomegaly. Almost all the aneurysms were sealed by endovascular means at the first stage. Later, for the residual aneurysms at splenic hilum and enlarged spleen, splenectomy was performed. She made an uneventful recovery. |
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| AbstractList | Multiple giant splenic artery aneurysms (>10 cm in diameter) are rare. We report a patient presenting with these aneurysms who had also associated portal hypertension and massive splenomegaly. Almost all the aneurysms were sealed by endovascular means at the first stage. Later, for the residual aneurysms at splenic hilum and enlarged spleen, splenectomy was performed. She made an uneventful recovery.Multiple giant splenic artery aneurysms (>10 cm in diameter) are rare. We report a patient presenting with these aneurysms who had also associated portal hypertension and massive splenomegaly. Almost all the aneurysms were sealed by endovascular means at the first stage. Later, for the residual aneurysms at splenic hilum and enlarged spleen, splenectomy was performed. She made an uneventful recovery. Multiple giant splenic artery aneurysms (>10 cm in diameter) are rare. We report a patient presenting with these aneurysms who had also associated portal hypertension and massive splenomegaly. Almost all the aneurysms were sealed by endovascular means at the first stage. Later, for the residual aneurysms at splenic hilum and enlarged spleen, splenectomy was performed. She made an uneventful recovery. |
| Author | Rehman, Zia Ur |
| Author_xml | – sequence: 1 fullname: Rehman, Zia Ur organization: Section of Vascular Surgery, Department of Surgery, Agha Khan University Hospital |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31275486$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.jvs.2008.03.043 10.1097/MD.0000000000001016 10.4236/ss.2011.25062 10.5144/0256-4947.2001.340 10.1186/s13256-016-1059-4 10.1016/j.avsg.2011.04.006 10.12669/pjms.292.2992 10.1155/2016/6278452 10.1016/j.jvs.2004.06.020 |
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| Copyright | 2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original. Copyright © 2019 Annals of Vascular Diseases 2019 |
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| References | 6) Akbulut S, Otan E. Management of giant splenic artery aneurysm: comprehensive literature review. Medicine (Baltimore) 2015; 94: e1016. 10) Khan A, Ayub M, Haider I, et al. Coexisting giant splenic artery and portal vein aneurysm leading to non-cirrhotic portal hypertension: a case report. J Med Case Reports 2016; 10: 270. 7) Jamsheer NS, Malik N. Ruptured splenic artery aneurysm. Ann Saudi Med 2001; 21: 340-1. 5) Rathod J, Taori K, Dhomne S, et al. Endovascular embolisation of giant ruptured proximal splenic arterial pseudoaneurysm using microcoils & glue: case report. Surg Sci 2011; 2: 290-3. 9) Beksac K, Karakoc D. Multiple giant splenic artery aneurysm causing sinistral (left-sided) portal hypertension. Case Rep Gastrointest Med 2016; 2016: 6278452. 8) Karaman K, Onat L, Șirvancı M, et al. Endovascular stent graft treatment in a patient with splenic artery aneurysm. Diag Interv Radiol 2005; 11: 119-21. 1) Huang IH, Zuckerman DA, Matthews JB. Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin-collagen injection. J Vasc Surg 2004; 40: 574-7. 3) Miao YD, Ye B. Intragastric rupture of splenic artery aneurysms: three case reports and literature review. Pak J Med Sci 2013; 29: 656-9. 4) Ferrero E, Ferri M, Viazzo A, et al. Visceral artery aneurysm, an experience of 32 cases in a single center: treatment from surgery to multilayer stent. Ann Vasc Surg 2011; 25: 923-35. 2) Pulli R, Dorigo W, Troisi N, et al. Surgical treatment of visceral artery aneurysms: a 25-year experience. J Vasc Surg 2008; 48: 334-42. 1 2 3 4 5 6 7 8 9 10 |
| References_xml | – reference: 8) Karaman K, Onat L, Șirvancı M, et al. Endovascular stent graft treatment in a patient with splenic artery aneurysm. Diag Interv Radiol 2005; 11: 119-21. – reference: 5) Rathod J, Taori K, Dhomne S, et al. Endovascular embolisation of giant ruptured proximal splenic arterial pseudoaneurysm using microcoils & glue: case report. Surg Sci 2011; 2: 290-3. – reference: 1) Huang IH, Zuckerman DA, Matthews JB. Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin-collagen injection. J Vasc Surg 2004; 40: 574-7. – reference: 4) Ferrero E, Ferri M, Viazzo A, et al. Visceral artery aneurysm, an experience of 32 cases in a single center: treatment from surgery to multilayer stent. Ann Vasc Surg 2011; 25: 923-35. – reference: 7) Jamsheer NS, Malik N. Ruptured splenic artery aneurysm. Ann Saudi Med 2001; 21: 340-1. – reference: 2) Pulli R, Dorigo W, Troisi N, et al. Surgical treatment of visceral artery aneurysms: a 25-year experience. J Vasc Surg 2008; 48: 334-42. – reference: 3) Miao YD, Ye B. Intragastric rupture of splenic artery aneurysms: three case reports and literature review. Pak J Med Sci 2013; 29: 656-9. – reference: 9) Beksac K, Karakoc D. Multiple giant splenic artery aneurysm causing sinistral (left-sided) portal hypertension. Case Rep Gastrointest Med 2016; 2016: 6278452. – reference: 6) Akbulut S, Otan E. Management of giant splenic artery aneurysm: comprehensive literature review. Medicine (Baltimore) 2015; 94: e1016. – reference: 10) Khan A, Ayub M, Haider I, et al. Coexisting giant splenic artery and portal vein aneurysm leading to non-cirrhotic portal hypertension: a case report. J Med Case Reports 2016; 10: 270. – ident: 2 doi: 10.1016/j.jvs.2008.03.043 – ident: 6 doi: 10.1097/MD.0000000000001016 – ident: 5 doi: 10.4236/ss.2011.25062 – ident: 7 doi: 10.5144/0256-4947.2001.340 – ident: 10 doi: 10.1186/s13256-016-1059-4 – ident: 4 doi: 10.1016/j.avsg.2011.04.006 – ident: 3 doi: 10.12669/pjms.292.2992 – ident: 9 doi: 10.1155/2016/6278452 – ident: 1 doi: 10.1016/j.jvs.2004.06.020 – ident: 8 |
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| Title | Multiple Giant Splenic Artery Aneurysms with Hypersplenism and Portal Hypertension: A Case Report |
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