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Management of the Splenic Artery Aneurysm: with a Six Different Clinical Presentation and Treatment Modality

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Abstract

Splenic artery aneurysm is the enlargement of the splenic artery more than 1 cm and can be a life-threatening condition. Trauma, pregnancy, portal hypertension, atherosclerosis, advanced age, and female gender are underlying risk factors. Although the patients are mostly asymptomatic, the symptoms may range from pain in the epigastrium, left upper quadrant, to sudden onset of severe abdominal pain and shock as a result of rupture. In our study, the data of six splenic artery aneurysm patients who applied to Istanbul University Cerrahpaşa, Cerrahpaşa Medical Faculty General Surgery Clinic, between 2015 and 2019 with different clinical presentations and treated with different methods were retrospectively analyzed. Six patients with splenic artery aneurysm were reviewed. They were 4 women and 2 men aged 28 to 66 years. The mean diameter of aneurysms was 4.42 cm and the average hospitalization duration was 6.8 days. All patients presented with abdominal pain. Two patients had also low hemoglobin value and hypovolemic shock due to intraabdominal bleeding. Splenic artery aneurysm rupture was diagnosed in 1 patient who was 28 weeks of gestation. Only aneurysmectomy was performed on 2 patients, aneurysmectomy + splenectomy on 3, and coil embolization on 1. Since splenic artery aneurysm may present with different clinical signs and may have high mortality due to the risk of rupture, it can be safely treated by using different modalities according to the patient’s specifications after the appropriate and early diagnosis.

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Authors and Affiliations

  1. General Surgery Department, Cerrahpasa Medical Faculty, Division of Hepatobiliary Pancreatic Surgery, Istanbul University- Cerrahpasa, Istanbul, Turkey

    Simsek Osman, Ergun Sefa, Yurdacan Muge, Turgut Basar Can, Velidedeoglu Mehmet & Pekmezci Salih

Authors
  1. Simsek Osman
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  2. Ergun Sefa
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  3. Yurdacan Muge
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  4. Turgut Basar Can
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  5. Velidedeoglu Mehmet
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  6. Pekmezci Salih
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Contributions

Osman Sımsek: conceptualization, formal analysis, supervision, writing – original draft, writing-review and editing

Salih Pekmezci: methodology, supervision, validation, visualization, resources

Sefa Ergun: investigation, methodology, validation, supervision, writing-original draft

Mehmet Velidedeoglu: resources, software, supervision, resources

Muge Yurdacan: visualization, project administration, resources, formal analysis

Basar Can Turgut: data curation, software, investigation

Corresponding author

Correspondence to Ergun Sefa.

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Ethical Approval

This study was approved by the Ethics Committee of Istanbul University Cerrahpaşa, Cerrahpaşa Medical Faculty, with the number 92003 dated 17.07.2020.

Informed Consent

Written informed consent was obtained from all participants.

Competing Interests

The authors declare no competing interests.

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Osman, S., Sefa, E., Muge, Y. et al. Management of the Splenic Artery Aneurysm: with a Six Different Clinical Presentation and Treatment Modality. Indian J Surg 84, 928–933 (2022). https://doi.org/10.1007/s12262-021-03042-3

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  • DOI: https://doi.org/10.1007/s12262-021-03042-3

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