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Updated: May 10, 2026
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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Laparoscopic excision of splenic artery aneurysm
1Department of General Surgery, Arrowhead Regional Medical Center, Fontana, CA 92335, USA. y32kim@gmail.com
Summary
Laparoscopic surgery successfully treated a symptomatic 2.5-cm splenic artery aneurysm in a morbidly obese patient. Prompt intervention is crucial for splenic artery aneurysms with high rupture risk, favoring surgical repair over embolization for symptomatic cases.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Abdominal Imaging
Background:
- Splenic artery aneurysms (SAAs) are increasingly diagnosed due to advanced imaging.
- Symptomatic SAAs, those in pregnant/childbearing-age women, or >2 cm warrant surgical intervention due to rupture risk.
Observation:
- A 35-year-old morbidly obese woman presented with 4 weeks of left flank pain.
- Angiography revealed a 2.5-cm SAA near the splenic hilum.
- Angioembolization was deemed unlikely to succeed due to collaterals and aneurysm location.
Findings:
- Laparoscopic excision of the splenic artery aneurysm with splenectomy was successfully performed.
- This case demonstrates a viable surgical option for complex SAAs.
Implications:
- Laparoscopic surgery offers a successful treatment for symptomatic splenic artery aneurysms.
- Prompt surgical repair is preferred for symptomatic SAAs over percutaneous embolization due to higher success rates.
- This approach may be particularly beneficial for complex cases where embolization is challenging.
