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[Management of visceral aneurysm]
H Hauksson1, B Lindblad, D Bergqvist
1Kirurgiska kliniken, Malmö allmänna sjukhus.
Lakartidningen
|October 31, 1990
Summary
This study on visceral artery aneurysms found no deaths in 25 patients, whether treated with surgery or conservatively. Management strategies varied, highlighting successful outcomes for splenic artery aneurysms and others.
Area of Science:
- Vascular Surgery
- Abdominal Radiology
- Gastroenterology
Background:
- Visceral artery aneurysms are rare but can lead to life-threatening rupture.
- Effective management strategies are crucial for improving patient outcomes.
Purpose of the Study:
- To review the experience with visceral aneurysms at Malmö General Hospital from 1971-1985.
- To analyze the outcomes of surgical and conservative management of these aneurysms.
Main Methods:
- Retrospective review of 25 patients diagnosed with visceral aneurysms.
- Classification of aneurysms by location (splenic, superior mesenteric, pancreaticoduodenal, celiac, gastroduodenal).
- Analysis of treatment approaches: surgery, conservative management, or no intervention.
Main Results:
- Twenty-five patients were diagnosed with visceral aneurysms.
- Eight aneurysms were ruptured, six were treated surgically, and 11 received conservative management.
- No mortality was observed in either the surgical or conservative groups.
Conclusions:
- Visceral artery aneurysms can be managed successfully with both surgical and conservative approaches.
- Early diagnosis and appropriate intervention are key to preventing mortality.
- Splenic artery aneurysms were the most common type encountered in this series.