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Related Experiment Videos

Michael Shaya1, Uffe Schou Løve1

  • 1Mave-Tarmkirurgisk Klinik i Viborg, Kirurgi, Regionshospitalet Viborg.

Ugeskrift for Laeger
|March 31, 2023
PubMed
Summary
This summary is machine-generated.

A rare and potentially fatal splenic artery aneurysm was incidentally discovered during a gastroscopy in a 78-year-old woman. This gigantic 9 cm aneurysm highlights the importance of endoscopic ultrasound (EUS) for diagnosing subepithelial lesions.

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Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Splenic artery aneurysms (SAAs) are uncommon vascular malformations.
  • Most SAAs are small (<2 cm) and asymptomatic, often found incidentally.
  • Ruptured SAAs can lead to severe hemorrhage and mortality.

Observation:

  • A 78-year-old woman presented with a large gastric subepithelial lesion identified during gastroscopy.
  • The lesion, located at the posterior gastric wall (fundus-corpus junction), measured 7 cm.
  • Subsequent computed tomography (CT) revealed a gigantic splenic artery aneurysm measuring 9 cm.

Findings:

  • The case demonstrates an unusual presentation of a splenic artery aneurysm diagnosed via gastroscopy.
  • The aneurysm's significant size (9 cm) was confirmed by CT imaging.

Related Experiment Videos

  • Endoscopic ultrasound (EUS) offers superior precision for subepithelial lesion diagnosis compared to abdominal CT.

    • Implications:

    • This case underscores the potential for SAAs to present atypically, even with significant size.
    • Gastroscopy can serve as an initial diagnostic tool for certain intra-gastric pathologies.
    • EUS is recommended for accurate characterization of subepithelial lesions, including vascular abnormalities like SAAs.