Email this article Case of successful diagnosis and surgical treatment of aneurysms with atypical origin splenic artery
- Issue: Vol 24, No 2 (2016)
- Pages: 101-106
- Section: Articles
- URL: https://journals.rcsi.science/pavlovj/article/view/5161
- DOI: https://doi.org/10.17816/PAVLOVJ20162101-106
- ID: 5161
Cite item
Full Text
Abstract
The article describes a case of successful diagnosis and surgical treatment of patients with aneurysm of the splenic artery (ASA) with atypical origin from the abdominal aorta. For a long time, ASA had symptoms like chronic pancreatitis. Due to the discharge of an atypical splenic artery computed tomography of its aneurysmal expansion was evaluated as an aneurysm of the celiac trunk. A decisive role in the topical diagnosis of aneurysm played angiography of the abdominal aorta and its visceral branches. The blood circulation of the spleen was compensated and authors preferred to preserve spleen with resection of the aneurysm. In the immediate postoperative period, signs of splenic ischemia and other complications are not logged in.
Keywords
Full Text
##article.viewOnOriginalSite##References
- Agrawal G.A., Johnson P.T., Fishman E.K. Splenic artery aneurysms and pseudoaneurysms: clinical distinctions and CT appearances // American Journal of Radiology. 2007. Vol. 188. P. 992-999.
- Moura R., Sobreira M.L., Jaldin R.G., Bertanha M., de Oliveira Mariuba J.V., Mecedo de Freitas C.C. et al. Splenic artery saccular aneurism: endovascular approach or open surgery? // J. Vasc. Bras. 2013. Vol. 12, № 3. P. 230-233.
- Шестопавлов С.С., Михайлова С.А., Тарасов А.Н., Ефремов А.П., Зинич Н.Ф., Сарсенбаев Б.Х. Ложная аневризма селезеночной артерии как осложнение острого и хронического панкреатита // Хирургия. Журнал им. Н.И. Пирогова. 2012. № 12. С. 14-18.
- Лесняк В.Н., Кемеж Ю.В., Еремеиче-ва А.Ю. КТ-диагностика аневризм висцеральных ветвей брюшной аорты // Russian Electronic Journal of Radiology. 2011. Т. 1, № 3. С. 69-74.
- Кемеж Ю.В., Еремеичева А.Ю. Аневризмы висцеральных ветвей брюшной аорты как диагностические находки при проведении КТ-исследований брюшной полости // Клиническая практика. 2011. № 2. С. 65-70.
- Casadei R., Antonacci N., Calculli L., Pezzili R., Zanini N., Ricci C. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperative thus avoiding diagnostic and therapeutic mistakes? // Journal of the Pancreas. 2007. Vol. 8, № 2. P. 235-239.
- Вишнякова М.В., Лерман А.В., Сташук Г.А., Дубров С.Э., Ващенко А.В., Демидов И.Н. Диагностика и эндова-скулярное лечение псевдоаневризмы селезеночной артерии (клиническое наблюдение) // Диагностическая и интервенционная радиология. 2010. Т. 4, № 4. С. 97-100.
- Karaman K., Onat L., Sirvanci M., Olga R. Endovascular stent graft treatment in patient with splenic artery aneurism // Diagn. Interv. Radiol. 2005. № 11. P. 119-121.
- Kim Y., Johna S. Laparoscopic excision of splenic artery aneurysm // Journal of the Society of Laparoscopic Surgeons. 2013. Vol. 17. P. 132-134.
