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Splenic artery aneurysms

¹Division of Vascular Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN, USA.

Seminars in Vascular Surgery

|December 1, 1995

Summary

This summary is machine-generated.

Small splenic artery aneurysms found incidentally require monitoring, but women of child-bearing age need prompt obliteration to prevent rupture during pregnancy. Vigilance for symptoms is key to saving mothers and fetuses.

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Area of Science:

Vascular Surgery
Obstetrics and Gynecology
Diagnostic Imaging

Background:

Incidental discovery of small (2-3 cm) asymptomatic splenic artery aneurysms is increasing due to widespread abdominal imaging.
Splenic artery aneurysms pose a risk of rupture, particularly during pregnancy.

Purpose of the Study:

To highlight the importance of recognizing splenic artery aneurysms in women of child-bearing age.
To emphasize the need for timely intervention in pregnant women to prevent catastrophic rupture.

Main Methods:

Review of clinical presentation and management strategies for splenic artery aneurysms.
Discussion of diagnostic and therapeutic options including surgery, embolization, and ligation.

Main Results:

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Asymptomatic splenic artery aneurysms in non-pregnant women can be monitored.
Pregnant women or those of child-bearing age require obliteration to prevent rupture during pregnancy.

Conclusions:

Early recognition and prompt treatment of splenic artery aneurysms are crucial for maternal and fetal survival.
Management decisions depend on aneurysm anatomy, patient condition, and available expertise.