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Splenic vein aneurysm: is it a surgical indication?
G Torres1, G L Hines, F Monteleone
1Division of Vascular Surgery, Winthrop-University Hospital, Mineola, NY, USA.
Journal of Vascular Surgery
|April 9, 1999
Summary
Rare splenic vein aneurysms can cause abdominal pain. This case highlights an expanding aneurysm in a young woman without portal hypertension, treated successfully with surgery.
Area of Science:
- Vascular Surgery
- Abdominal Imaging
- Gastroenterology
Background:
- Splenic vein aneurysms are uncommon vascular anomalies, often linked to portal hypertension.
- Clinical presentation is typically asymptomatic, but complications like rupture or pain can occur.
Observation:
- A young woman presented with abdominal and back pain attributed to an expanding splenic vein aneurysm.
- Notably, the patient had no history of portal hypertension, a common predisposing factor.
Findings:
- Diagnosis was confirmed using advanced imaging techniques, likely computed tomography scanning or duplex ultrasonography.
- The splenic vein aneurysm was successfully treated with surgical excision and splenectomy.
Implications:
- This case expands the understanding of splenic vein aneurysm etiology, suggesting non-portal hypertension causes.
- It underscores the importance of considering surgical intervention for symptomatic or expanding aneurysms, even in younger patients.