Endovascular treatment of incidental and emergency splenic aneurysm

• Published in: Medicina Vol. 81; no. 1; p. 96
• Main Authors: Vanetta, Carolina, González Salazar, Esteban, Goransky, Jeremias, Arbues, Guillermo, Palavecino, Martín
• Format: Journal Article
• Language: Spanish
• 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

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.