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Laparoscopic Excision of Splenic Artery Aneurysm

INTRODUCTION: Splenic artery aneurysm is more frequently diagnosed today with the advancement and liberal use of imaging modalities. A symptomatic aneurysm, an aneurysm of any diameter in a pregnant woman or a woman of childbearing age, and an aneurysm >2 cm are all strong indications for surgery...

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Autores principales: Kim, Youngjin, Johna, Samir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662731/
https://www.ncbi.nlm.nih.gov/pubmed/23743385
http://dx.doi.org/10.4293/108680812X13517013317392
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author Kim, Youngjin
Johna, Samir
author_facet Kim, Youngjin
Johna, Samir
author_sort Kim, Youngjin
collection PubMed
description INTRODUCTION: Splenic artery aneurysm is more frequently diagnosed today with the advancement and liberal use of imaging modalities. A symptomatic aneurysm, an aneurysm of any diameter in a pregnant woman or a woman of childbearing age, and an aneurysm >2 cm are all strong indications for surgery because of a significantly increased risk for splenic artery rupture. CASE DESCRIPTION: A 35-year-old, morbidly obese, African American woman presented with constant left flank pain for 4 weeks. Angiography confirmed a 2.5-cm splenic artery aneurysm near the splenic hilum. Because angioembolization was unlikely to succeed because of extensive collaterals and the aneurysm's proximity to the splenic hilum, laparoscopic excision of the aneurysm with splenectomy was performed. DISCUSSION: We report the successful laparoscopic surgical treatment of a 2.5-cm splenic artery aneurysm. Any splenic artery aneurysm with a significantly increased risk of rupture requires a prompt intervention. Although percutaneous embolization of the splenic artery is the most frequently applied therapy today, surgical repair is preferred for all symptomatic aneurysms because of the greater likelihood of success.
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spelling pubmed-36627312013-05-30 Laparoscopic Excision of Splenic Artery Aneurysm Kim, Youngjin Johna, Samir JSLS Case Reports INTRODUCTION: Splenic artery aneurysm is more frequently diagnosed today with the advancement and liberal use of imaging modalities. A symptomatic aneurysm, an aneurysm of any diameter in a pregnant woman or a woman of childbearing age, and an aneurysm >2 cm are all strong indications for surgery because of a significantly increased risk for splenic artery rupture. CASE DESCRIPTION: A 35-year-old, morbidly obese, African American woman presented with constant left flank pain for 4 weeks. Angiography confirmed a 2.5-cm splenic artery aneurysm near the splenic hilum. Because angioembolization was unlikely to succeed because of extensive collaterals and the aneurysm's proximity to the splenic hilum, laparoscopic excision of the aneurysm with splenectomy was performed. DISCUSSION: We report the successful laparoscopic surgical treatment of a 2.5-cm splenic artery aneurysm. Any splenic artery aneurysm with a significantly increased risk of rupture requires a prompt intervention. Although percutaneous embolization of the splenic artery is the most frequently applied therapy today, surgical repair is preferred for all symptomatic aneurysms because of the greater likelihood of success. Society of Laparoendoscopic Surgeons 2013 /pmc/articles/PMC3662731/ /pubmed/23743385 http://dx.doi.org/10.4293/108680812X13517013317392 Text en © 2013 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Kim, Youngjin
Johna, Samir
Laparoscopic Excision of Splenic Artery Aneurysm
title Laparoscopic Excision of Splenic Artery Aneurysm
title_full Laparoscopic Excision of Splenic Artery Aneurysm
title_fullStr Laparoscopic Excision of Splenic Artery Aneurysm
title_full_unstemmed Laparoscopic Excision of Splenic Artery Aneurysm
title_short Laparoscopic Excision of Splenic Artery Aneurysm
title_sort laparoscopic excision of splenic artery aneurysm
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662731/
https://www.ncbi.nlm.nih.gov/pubmed/23743385
http://dx.doi.org/10.4293/108680812X13517013317392
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