Endovascular treatment of incidental and emergency splenic aneurysm

True splenic aneurysms are saccular dilations of all the layers of the splenic artery, more common in women, pregnancy and portal hypertension. They are usually asymptomatic and diagnosed incidentally during the study of other abdominal diseases. Up to 10% may present with rupture, which implies a h...

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Bibliographic Details
Published inMedicina Vol. 81; no. 1; p. 96
Main Authors Vanetta, Carolina, González Salazar, Esteban, Goransky, Jeremias, Arbues, Guillermo, Palavecino, Martín
Format Journal Article
LanguageSpanish
Published Argentina 2021
Subjects
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - therapy
Embolization, Therapeutic
Endovascular Procedures
Female
Humans
Pregnancy
Splenic Artery - diagnostic imaging
Treatment Outcome
ruptured aneurysm
splenic aneurysm
giant aneurysm
endovascular embolization
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Summary:True splenic aneurysms are saccular dilations of all the layers of the splenic artery, more common in women, pregnancy and portal hypertension. They are usually asymptomatic and diagnosed incidentally during the study of other abdominal diseases. Up to 10% may present with rupture, which implies a high morbidity and mortality. Treatment of splenic aneurysms is still a subject of controversy and there is a great variety of therapeutic modalities. We present two cases of patients with splenic aneurysms: one who presented with rupture and the other one incidentally diagnosed. Both were treated with endovascular embolization achieving optimal results. Although the utility of this therapy has not been assessed for giant or ruptured aneurysms, it allowed us to solve these scenarios in a secure and effective way, with minimum morbidity and mortality.
ISSN:1669-9106