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Splenic artery aneurysms

V F Trastek, P C Pairolero, J W Joyce

    Surgery
    |June 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Splenic artery aneurysms are rare, often occurring in women with a history of pregnancy. Surgical resection is recommended for symptomatic or pregnant patients to prevent rupture.

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    Area of Science:

    • Vascular Surgery
    • Gastroenterology

    Background:

    • Splenic artery aneurysms (SAAs) are uncommon vascular lesions.
    • Pregnancy is a significant risk factor, particularly in women.

    Observation:

    • A review of 100 SAA cases (1960-1980) found 87% were women, 92% of whom had been pregnant.
    • Mean aneurysm diameter was 2.1 cm; 72% were calcified, and 78% were in the distal splenic artery.
    • Symptomatic presentation (abdominal pain) occurred in 17 patients; three ruptures were recorded, one in a pregnant patient.

    Findings:

    • Surgical treatment was performed in 81 patients, with aneurysmectomy and splenectomy being most common (1.3% operative mortality).
    • Nineteen patients managed non-surgically showed no complications during a mean 7.4-year follow-up.
    • Aneurysmectomy with splenectomy is the most common procedure.

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    Implications:

    • This study supports surgical intervention for pregnant patients and those with symptomatic splenic artery aneurysms.
    • Early diagnosis and treatment are crucial for preventing potentially life-threatening rupture.
    • Non-operative management may be considered for asymptomatic, unruptured aneurysms.