Splenic Artery Aneurysm at Phra Nakhon Si Ayutthaya Hospital : Case Report
Abstract
Splenic artery aneurysm is rare and difficult to diagnose with high mortality from intraperitoneal rupture. A 50-year-old man with acute urinary retention and microscopic hematuria came to Hospital. An IVP was normal. Since the patient had persistent hematuria, an abdominal CT scan was done. A CT scan revealed a retroperitoneal mass abutted left adrenal gland and splenic artery. This finding could not differentiate between splenic artery aneurysm and adrenal mass. The diagnosis of splenic artery aneurysm was established at endoscopic ultrasound. The patient had elective splenectomy and aneurysmectomy. Eighteen months after the operation, no complications were discovered.
References
2. Nishino M, Hayakawa K, Minami M, Yamamoto A, Ueda H, Takasu K. Primary retroperitoneal neoplasms: CT and MR imaging findings with anatomic and pathologic diagnostic clues. Radiographics 2003;23:45-57.
3. Huang YK, Hsieh HC, Tsai FC, Chang SH, Lu MS, Ko PJ. Visceral artery aneurysm: risk factor analysis and therapeutic opinion. Eur J Vasc Endovasc Surg 2007;33:293-301.
4. Liu CF, Kung CT, Liu BM, Ng SH, Huang CC, Ko SF. Splenic artery aneurysms encountered in the ED: 10 years’ experience. Am J Emerg Med 2007;25:430-6.
5. Pescarus R, Montreuil B, Bendavid Y. Giant splenic artery aneurysms: case report and review of the literature. J Vasc Surg 2005;42:344-7.
6. Lakin RO, Bena JF, Sarac TP, Shah S, Krajewski LP, Srivastava SD, et al. The contemporary management of splenic artery aneurysms. J Vasc Surg 2011;53:958-64.
7. Sun C, Liu C, Wang XM, Wang DP. The value of MDCT in diagnosis of splenic artery aneurysms. Eur J Radiol 2008;65:498-502.
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