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Case Reports
. 2024 Mar:116:109406.
doi: 10.1016/j.ijscr.2024.109406. Epub 2024 Feb 24.

Emergent method for management of splenic artery aneurysms rupture: A case report

Javad Salimi  1 , Parham Nikraftar  2 , Fatemeh Rashidi  3 , Mohammadreza Azimi  4 , Amir Shokri  5
Affiliations
Case Reports

Emergent method for management of splenic artery aneurysms rupture: A case report

Javad Salimi et al. Int J Surg Case Rep. 2024 Mar.

Abstract

Introduction and importance: Although endovascular therapy is becoming more used for the treatment of splenic artery aneurysms (SAAs) instead of open surgery, there is limited information available on the emergent hybrid approach, selectively. We present our experience of hybrid therapy using an emergent endovascular balloon for inflow control and open resection.

Case presentation: A 34-year-old woman was brought to the emergency room after it was reported that she had a pseudoaneurysm in her splenic artery at a different medical facility. The patient was hemodynamically stable. Then we underwent a combination of endovascular and open procedures, using balloon proximal control and open aneurysm resection. She was discharged from hospital on the fifth postoperative day after the operation.

Clinical discussion: There is no agreement on how to treat SAA patients. Endovascular procedures such as endovascular intervention are also being used, minimizing the risks of surgery and shortening the patient's hospital stay, but complications remain. We propose to try SAA's emergency hybrid strategy operation with a good prognosis and fewer complications.

Conclusion: It seems that, compared to open surgery alone when endovascular procedures were impossible, elective hybrid procedures are more secure and efficient in stable patients and could make the operation easier without more dissection for proximal control of splenic artery.

Keywords: Endovascular; Hybrid; Open surgery; Rupture of aneurysm; Splenic artery aneurysm.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Pretreatment contrast-enhanced CT is showing an aneurysmatic dilation in the proximal of the splenic artery. Arrows: Aneurysm sac and retroperitoneal hematoma.
Fig. 2
Fig. 2
a: Coil and Distal embolization, b: the balloon control, c: celiac and SMA, the first angiography with pigtail catheter.
Fig. 3
Fig. 3
Aneurysm resection, b: arrow; aneurysm sac.
See this image and copyright information in PMC

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