Cargando…

Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience

AIM: The aim of our study was to evaluate the computed tomography (CT) imaging features of splenic artery aneurysm and pseudoaneurysm and to identify the disease conditions related to the same. We also wanted to ascertain any relationship between these associated disease conditions and the imaging f...

Descripción completa

Detalles Bibliográficos
Autores principales: Therakathu, Jacob, Panwala, Hirenkumar Kamleshkumar, Bhargava, Salil, Eapen, Anu, Keshava, Shyamkumar Nidugala, David, Deepu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6118105/
https://www.ncbi.nlm.nih.gov/pubmed/30197828
http://dx.doi.org/10.4103/jcis.JCIS_21_18
_version_ 1783351866391789568
author Therakathu, Jacob
Panwala, Hirenkumar Kamleshkumar
Bhargava, Salil
Eapen, Anu
Keshava, Shyamkumar Nidugala
David, Deepu
author_facet Therakathu, Jacob
Panwala, Hirenkumar Kamleshkumar
Bhargava, Salil
Eapen, Anu
Keshava, Shyamkumar Nidugala
David, Deepu
author_sort Therakathu, Jacob
collection PubMed
description AIM: The aim of our study was to evaluate the computed tomography (CT) imaging features of splenic artery aneurysm and pseudoaneurysm and to identify the disease conditions related to the same. We also wanted to ascertain any relationship between these associated disease conditions and the imaging features of the aneurysms. MATERIALS AND METHODS: This retrospective study included patients diagnosed to have splenic artery aneurysms on contrast-enhanced CT examination between January 2001 and January 2016. Data were obtained from the picture archiving and communication system. The size, number, location, morphology, the presence of thrombosis, calcification, and rupture of the aneurysms were evaluated. RESULTS: A total of 45 patients were identified with a mean age of 45 years. Splenic artery aneurysms were idiopathic in 12 (26.6%) patients. In the remaining patients, the main associated disease conditions included pancreatitis 15 (33%), chronic liver disease with portal hypertension 8 (18%), and extrahepatic portal vein obstruction (EHPVO) 6 (13%). Statistically significant findings included the relationship between EHPVO and multiple aneurysms (P = 0.002), chronic liver disease and fusiform aneurysm (P = 0.008), and smaller size of idiopathic aneurysms (P < 0.001). CONCLUSION: Based on this study, splenic artery aneurysms were associated with a variety of etiologies. The characteristics of the aneurysms such as size, location, and morphology vary with the associated disease conditions. These variations may have implications for the management.
format Online
Article
Text
id pubmed-6118105
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-61181052018-09-07 Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience Therakathu, Jacob Panwala, Hirenkumar Kamleshkumar Bhargava, Salil Eapen, Anu Keshava, Shyamkumar Nidugala David, Deepu J Clin Imaging Sci Original Article AIM: The aim of our study was to evaluate the computed tomography (CT) imaging features of splenic artery aneurysm and pseudoaneurysm and to identify the disease conditions related to the same. We also wanted to ascertain any relationship between these associated disease conditions and the imaging features of the aneurysms. MATERIALS AND METHODS: This retrospective study included patients diagnosed to have splenic artery aneurysms on contrast-enhanced CT examination between January 2001 and January 2016. Data were obtained from the picture archiving and communication system. The size, number, location, morphology, the presence of thrombosis, calcification, and rupture of the aneurysms were evaluated. RESULTS: A total of 45 patients were identified with a mean age of 45 years. Splenic artery aneurysms were idiopathic in 12 (26.6%) patients. In the remaining patients, the main associated disease conditions included pancreatitis 15 (33%), chronic liver disease with portal hypertension 8 (18%), and extrahepatic portal vein obstruction (EHPVO) 6 (13%). Statistically significant findings included the relationship between EHPVO and multiple aneurysms (P = 0.002), chronic liver disease and fusiform aneurysm (P = 0.008), and smaller size of idiopathic aneurysms (P < 0.001). CONCLUSION: Based on this study, splenic artery aneurysms were associated with a variety of etiologies. The characteristics of the aneurysms such as size, location, and morphology vary with the associated disease conditions. These variations may have implications for the management. Medknow Publications & Media Pvt Ltd 2018-08-24 /pmc/articles/PMC6118105/ /pubmed/30197828 http://dx.doi.org/10.4103/jcis.JCIS_21_18 Text en Copyright: © 2018 Journal of Clinical Imaging Science http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Therakathu, Jacob
Panwala, Hirenkumar Kamleshkumar
Bhargava, Salil
Eapen, Anu
Keshava, Shyamkumar Nidugala
David, Deepu
Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience
title Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience
title_full Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience
title_fullStr Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience
title_full_unstemmed Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience
title_short Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience
title_sort contrast-enhanced computed tomography imaging of splenic artery aneurysms and pseudoaneurysms: a single-center experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6118105/
https://www.ncbi.nlm.nih.gov/pubmed/30197828
http://dx.doi.org/10.4103/jcis.JCIS_21_18
work_keys_str_mv AT therakathujacob contrastenhancedcomputedtomographyimagingofsplenicarteryaneurysmsandpseudoaneurysmsasinglecenterexperience
AT panwalahirenkumarkamleshkumar contrastenhancedcomputedtomographyimagingofsplenicarteryaneurysmsandpseudoaneurysmsasinglecenterexperience
AT bhargavasalil contrastenhancedcomputedtomographyimagingofsplenicarteryaneurysmsandpseudoaneurysmsasinglecenterexperience
AT eapenanu contrastenhancedcomputedtomographyimagingofsplenicarteryaneurysmsandpseudoaneurysmsasinglecenterexperience
AT keshavashyamkumarnidugala contrastenhancedcomputedtomographyimagingofsplenicarteryaneurysmsandpseudoaneurysmsasinglecenterexperience
AT daviddeepu contrastenhancedcomputedtomographyimagingofsplenicarteryaneurysmsandpseudoaneurysmsasinglecenterexperience