Splenic artery aneurysm

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Background

  • The most common visceral arterial aneurysm, and the third most common abdominal aneurysm after the aorta and iliac vessels.
  • The incidence of splenic artery aneurysms on CT is 0.8%Cite error: Closing </ref> missing for <ref> tag

Management

  • Emergent laparotomy for ruptured aneurysm.

Disposition

  • Any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with α-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age requires consultation with a vascular surgeon for ligation or embolization.
  • Greater than 2cm: Requires consult with a vascular surgeon for ligation or embolization. [1]
  • Less than 2cm: Discharge with follow up with PCP or vascular surgeon for surveillance scans at six months and then every 1-2 years[2][3]

See Also

External Links

References

  1. ↑ Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.
  2. ↑ Abbas, Maher A. "Splenic Artery Aneurysms: Two Decades Experience at Mayo Clinic." Annals of Vascular Surgery 16.4 (2002): 442-49.
  3. ↑ Cite error: Invalid <ref> tag; no text was provided for refs named khosa
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