Multiple calcified aneurysms of splenic artery, hypersplenism and concomitant cholelithiasis

Multiple calcified aneurysms of splenic artery with hypersplenism and concomitant cholelithiasis were found in a 73-year-old Japanese woman. The symptoms and radiological findings were referable to the aneurysms. The predisposing factors are reviewed. Proximal ligation of the splenic artery and splenectomy gave a good postoperative result. Histopathological examination revealed an atherosclerotic origin, nevertheless, specimens from an elderly person may obscure the actual pathology.