Case Report

J Minim Invasive Surg 2003; 6(1): 55-59

Published online December 20, 2003

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

복강경 비장동맥류 절제술

이상철·이상권·김응국

가톨릭대학교 의과대학 외과학교실

Laparoscopic Resection of a Splenic Artery Aneurysm

Sang Chul Lee, M.D., Sang Kuon Lee, M.D., Eung Kook Kim, M.D.

Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Splenic artery aneurysm is a rare disease that can be ruptured in about 10% with lethal consequences. It is more frequent in women and it is believed that factors such as the medial fibrodysplasia, multiple pregnancies, portal hypertension, splenomegaly, and after orthotopic liver transplantation predispose to the formation of aneurysm. Most of these aneurysms are asymptomatic; however, a 20% of patients presents symptoms such as abdominal pain, pallor and hypovolemic shock. The treatment consists of aneurismal resection and splenectomy when necessary and recently, laparoscopic approaches have been reported in the literature. Our case was a 70 year-old male who presented with several episodes of biliary colics. During work-up, multiple gallbladder stones were found and a 2.5 cm-sized distal splenic artery aneurysm was incidentally observed on abdominal CT scan. In an elective base, we successfully performed laparoscopic resection of the aneurysm with spleen preservation. Ligation devices were utilized for excluding the aneurysm. This patient showed an uneventful recovery and was discharged from hospital on postoperative day 4. On follow up examination, this patient is doing well without any complication. In conclusion, laparoscopic resection of splenic artery aneurysm is feasible and safe; in addition, spleen preservation is also possible in selected cases.

Keywords Aneurysm, Splenic artery, Laparoscopy, Resection

Article

Case Report

J Minim Invasive Surg 2003; 6(1): 55-59

Published online December 20, 2003

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

복강경 비장동맥류 절제술

이상철·이상권·김응국

가톨릭대학교 의과대학 외과학교실

Laparoscopic Resection of a Splenic Artery Aneurysm

Sang Chul Lee, M.D., Sang Kuon Lee, M.D., Eung Kook Kim, M.D.

Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Splenic artery aneurysm is a rare disease that can be ruptured in about 10% with lethal consequences. It is more frequent in women and it is believed that factors such as the medial fibrodysplasia, multiple pregnancies, portal hypertension, splenomegaly, and after orthotopic liver transplantation predispose to the formation of aneurysm. Most of these aneurysms are asymptomatic; however, a 20% of patients presents symptoms such as abdominal pain, pallor and hypovolemic shock. The treatment consists of aneurismal resection and splenectomy when necessary and recently, laparoscopic approaches have been reported in the literature. Our case was a 70 year-old male who presented with several episodes of biliary colics. During work-up, multiple gallbladder stones were found and a 2.5 cm-sized distal splenic artery aneurysm was incidentally observed on abdominal CT scan. In an elective base, we successfully performed laparoscopic resection of the aneurysm with spleen preservation. Ligation devices were utilized for excluding the aneurysm. This patient showed an uneventful recovery and was discharged from hospital on postoperative day 4. On follow up examination, this patient is doing well without any complication. In conclusion, laparoscopic resection of splenic artery aneurysm is feasible and safe; in addition, spleen preservation is also possible in selected cases.

Keywords: Aneurysm, Splenic artery, Laparoscopy, Resection

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