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Updated: Sep 7, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Splenic artery aneurysm. A rare cause of upper gastrointestinal bleeding
1Department of Surgery, North Mississippi Medical Center, Tupelo.
Abstract:
Most splenic artery aneurysms (SAAs) are asymptomatic at the time of discovery, being found incidentally during laparotomy or angiography. SAAs are most likely to be found in multiparous women. Complications of SAAs include free intraperitoneal rupture and erosion into abdominal viscera or vessels, with resultant high mortality. Surgery is indicated for symptomatic, enlarging, or large (greater than or equal to 2.5 cm) SAAs as well as any SAA found in women of childbearing age. Treatment of such aneurysms depends on the location and includes excision, ligation, and splenectomy. The present report presents the first known case, to our knowledge, of SAA presenting with massive upper gastrointestinal bleeding from erosion into the stomach in a nulliparous woman. Prompt surgical intervention resulted in correct diagnosis and patient survival.
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