Abstract
A 47-year-old man was referred to our hospital due to a splenic artery aneurysm. The course of the disease was monitored by ultrasound every 6 months. At each examination, the tumor was found to have increased in size by several millimeters, but the sonographer decided that the increase was within the range of error. After 4 years, the tumor showed a rapid increase in size. With a diagnosis of threatened rupture, the patient’s life was saved by surgical intervention. In this case, the observations were only compared to the findings from the previous examination, and the slight increase in tumor size was considered within the range of error. It is important to compare the findings not only with those from the previous examination but also with earlier results.
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Heberer G, Rau G, Lohr HH et al. Aorta und grosse arterien, vol. 25. Berlin: Springer; 1996. p. 257–371.
McCelland RN, Gewertz BL, Fry WJ. Overviews of papers on peripheral arterial aneurysms and peripheral arterial disease. Sel Read Gen Surg. 1981;8:3–4.
Hori T, Murabayashi K, Akasaka Y, et al. A case of huge splenic artery aneurysm presenting as palpating abdominal mass. J Med Soc Mie. 2003;47:81–8. in Japanese.
Stanley JC, Fry WJ. Pathogenesis and clinical significance of splenic artery aneurysms. Surgery. 1974;76:898–909.
Pulli R, Innocenti AA, Barbanti E, et al. Early and long term result of surgical treatment of splenic artery aneurysms. Am J Surg. 2001;182:520–3.
Salam TA, Lumsden AB, Martin LG, et al. Nonoperative management of visceral aneurysms and pseudoaneurysms. Am J Surg. 1992;164:215–9.
Carr SC, Pearce WH, Vogelzang RL. Current management of visceral aneurysms. Surgery. 1996;120:627–34.
Bobb RR. Aneurysm of the splenic artery. Arch Surg. 1976;111:924–5.
Trastek VF, Pairolero PC, Joyce JW, et al. Splenic artery aneurysms. Surgery. 1982;91:694–9.
Westcott JL, Ziter FM. Aneurysms of the splenic artery. Surg Gynecol Obstet. 1973;136:541–6.
Amano T, Oshiro H, Yamamoto Y, et al. A case of splenic anurysm. Med J Hiroshima Prof Hosp. 1983;15:159–72. in Japanese.
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Wakui, N., Iida, K., Kanayama, M. et al. Splenic artery aneurysm that gradually increased in size over 4 years until threatening rupture. J Med Ultrasonics 38, 167–171 (2011). https://doi.org/10.1007/s10396-011-0303-1
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DOI: https://doi.org/10.1007/s10396-011-0303-1