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Published on: December 20, 2024
Giant splenic artery aneurysm: case report
Sadaf Ali1, Vibha Verma, Sastry R
1Department of Surgical Gastroenterology, SKIMS, Srinagar, Kashmir, India.
ISRN Surgery
|November 16, 2011
Summary
Giant splenic artery aneurysms are rare and pose a high rupture risk. This case highlights a large splenic artery aneurysm presenting with gastrointestinal bleeding, successfully treated with surgery.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Splenic artery aneurysms (SAAs) are the third most common intra-abdominal aneurysms.
- Giant SAAs are exceptionally rare and associated with a significant risk of rupture.
- Rupture risk is influenced by aneurysm size and location.
Observation:
- A 35-year-old woman presented with upper gastrointestinal bleeding.
- She exhibited splenomegaly and extrahepatic portal hypertension.
- Angiography revealed an 8 x 10 cm giant SAA in the middle and distal splenic artery.
Findings:
- The giant SAA was confirmed via angiography.
- The patient experienced upper gastrointestinal bleeding as a primary symptom.
- Surgical intervention was deemed necessary due to the aneurysm's size and rupture risk.
Implications:
- This case underscores the importance of considering giant SAAs in patients with unexplained gastrointestinal bleeding.
- Prompt diagnosis and surgical management are crucial for preventing rupture and managing complications.
- Surgical options include aneurysm excision, splenectomy, and devascularization.
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