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Splenic artery aneurysm performed vascular reconstruction: a case report
Shunji Osaka1, Hideaki Maeda, Hisaki Umezawa
1Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.
Summary
A splenic artery aneurysm was incidentally discovered during a health examination. Surgical resection and splenic artery reconstruction were successful, highlighting the importance of vigilant diagnosis and tailored treatment for this rare vascular condition.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Splenic artery aneurysms (SAAs) are rare but life-threatening vascular lesions.
- Increasing use of diagnostic imaging like ultrasound leads to more frequent incidental detection.
- Rupture of SAAs carries a high mortality rate, necessitating prompt diagnosis and management.
Observation:
- A 58-year-old male presented with an incidentally found pancreatic cyst during routine health examination.
- Subsequent multidetector computed tomography (CT) and enhanced CT revealed a saccular splenic artery aneurysm, 22 mm in size, in the proximal splenic artery.
- Magnetic resonance angiography confirmed the aneurysm's characteristics and location.
Findings:
- The patient underwent successful surgical resection of the splenic artery aneurysm.
- Splenic artery reconstruction was achieved via end-to-end anastomosis.
- The patient experienced a favorable postoperative course and was discharged on the 7th postoperative day.
Implications:
- Incidental detection of SAAs is increasing due to advanced imaging techniques during health screenings.
- Early diagnosis and appropriate, individualized treatment are crucial to prevent potentially fatal rupture.
- Multimodality imaging and surgical expertise are vital for managing complex vascular anomalies like SAAs.
