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. 2016 May 17;4(6):620-2.
doi: 10.1002/ccr3.578. eCollection 2016 Jun.

Giant splenic artery aneurysm rupture

Alessandro Robaldo  1 , Fabrizio Gramondo  1 , Fabio Beccaria  2 , Patrizio Colotto  1
Affiliations

Giant splenic artery aneurysm rupture

Alessandro Robaldo et al. Clin Case Rep. .

Abstract

Little exists on treatment for SAAs rupture which may require a fast bleeding control because of the hemodynamic instability and a large perisplenic/peritoneal hematoma. This case shows the use of endovascular clamping and midline laparotomy to perform the splenectomy because of the severe hypotension and the dimension of the lesion.

Keywords: Endovascular repair; splenectomy; splenic artery; visceral aneurysm.

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Figures

Figure 1
Figure 1
Giant rupture of splenic artery aneurysm (SAA) with patency of the proximal segment of vessel.
Figure 2
Figure 2
(A) coronal plane. (B) sagittal plane – maximum intensity projection (MIP).
Figure 3
Figure 3
Emergency percutaneous supraceliac endovascular clamping with a compliant aortic occlusion balloon catheter.
Figure 4
Figure 4
A final angiogram showed the complete exclusion of the SAA with no signs of bleeding.
See this image and copyright information in PMC

References

    1. Dave, S. P. , Reis E. D., Hossain A., Taub P. J., Kerstein M. D., and Hollier L. H.. 2000. Splenic artery aneurysm in the 1990s. Ann. Vasc. Surg. 14:223–229. - PubMed
    1. Abdulrahman, A. , Shabkah A., Mazen H., and Aljiffry M.. 2014. Ruptured spontaneous splenic artery aneurysm: a case report and review of the literature. Int. J. Surg. Case Rep. 5:754–757. - PMC - PubMed
    1. Tulsyan, N. , Kashyap V. S., Greenberg R. K., Sarac T. P., Clair D. G., Pierce G., et al. 2007. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J. Vasc. Surg. 45:276–283. - PubMed
    1. Zubaidi, A. 2009. Rupture of multiple splenic artery aneurysms: a common presentation of a rare disease with a review of literature. Saudi J. Gastroenterol. 15:55–58. - PMC - PubMed

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