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Internal and Emergency Medicine

, Volume 5, Issue 2, pp 173–174 | Cite as

Management in an emergency department of a splenic artery aneurysm

  • Alberto MazzaEmail author
  • Domenico Montemurro
  • Luca Zattoni
  • Domenico Rubello
  • Sergio Zamboni
CE - Letter to the Editor

Although splenic artery aneurysm is a relatively rare clinical entity, it is the second most common abdominal splanchnic artery aneurysm (SAAs), accounting for approximately 60% of all SAAs [1]. The pathogenesis of the splenic artery aneurysm appears unclear, but seems most likely due to degeneration of the vessel wall media from excessive splanchnic blood flow [1].

Asymptomatic splenic artery aneurysm rupture represents an uncommon cause of hypovolaemic shock in the emergency department (ED). Up to 25% of these aneurysms may be complicated by erosion or rupture, with a mortality ranging between 25 and 70% [1]. This aneurysm is often detected on imaging studies such as an ultrasound study or computed tomography (CT scan). Treatment can be either surgical or interventional radiology-based, and should be considered in all patients with symptoms related to the lesions [2].

In this paper, the management of a splenic artery aneurysm, discovered by an abdominal ultrasound study in an...

Keywords

Splenic Artery Splenic Hilum Splenic Infarction Splanchnic Blood Flow Splenic Artery Aneurysm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest statement

The authors declare that they have no conflict of interest related to the publication of this manuscript.

References

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    Yamamoto S, Hirota S, Maeda H et al (2008) Transcatheter coil embolization of splenic artery aneurysm. Cardiovasc Intervent Radiol 31:527–534CrossRefPubMedGoogle Scholar
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Copyright information

© SIMI 2009

Authors and Affiliations

  • Alberto Mazza
    • 1
    • 4
    Email author
  • Domenico Montemurro
    • 1
  • Luca Zattoni
    • 2
  • Domenico Rubello
    • 3
  • Sergio Zamboni
    • 1
  1. 1.Department of Internal MedicineRovigo General HospitalRovigoItaly
  2. 2.Department of Radiological ScienceRovigo General HospitalRovigoItaly
  3. 3.Unit of Nuclear MedicineRovigo General HospitalRovigoItaly
  4. 4.SOC of Internal MedicineGeneral Hospital of RovigoRovigoItaly

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