Aneurismas múltiples de arteria esplénica

Carolina Perdomo Reyes; Daniel González González

doi:10.29193/RMU.39.2.8

Authors

Carolina Perdomo Reyes Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3, Residente de Cirugía General
Daniel González González Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3, Profesor Titular de Clínica Quirúrgica

DOI:

https://doi.org/10.29193/RMU.39.2.8

Abstract

Introduction: splenic artery aneurysms are the most frequent kind among aneurysms in visceral arteries. The existence of multiple aneurysms is rather unusual, there being few cases published. In general they constitute findings as they are asymptomatic. The presentation of the patient in the study, with non-specific upper abdominal pain is rather infrequent. Among the different therapeutic options, angio-embolization and the collocation of endovascular stents are the front line approaches, the main limitations being the size of the aneurysm and the tortuous nature of the splenic artery which makes endovascular access difficult. Surgical treatment is reserved for special situations and it May preserve the spleen (only acting on the aneurysm) or may involve a splenectomy.
Content description: the video presents a clinical case of multiple splenic artery aneurysms covering clinical presentation, diagnosis and therapeutic options - the chosen one in this case being laparoscopic spenectomy.
Conclusions: it is rather an unusual condition, and therefore dissemination of the case is key. Despite their generally being image studies findings, it is of the essence to apply timely therapy to prevent serious complications like the rupture of the aneurysm.

The audiovisual content was exhibited at the 70th Uruguayan Congress of Surgery.

Watch video on: https://www.youtube.com/watch?v=5IS2BxgeuxY

References

1) Colsa-Gutiérrez P, Kharazmi-Taghavi M, Sosa-Medina R, Gutiérrez-Cabeza J, Ingelmo-Setién A. Aneurisma de arteria esplénica: a propósito de un caso. Cir Cir 2015; 83(2):161-4. doi:10.1016/j.circir.2015.04.014.
2) Tcbc-Rj R, Ferreira M, Ferreira D, Ferreira A, Ramos F. Splenic artery aneurysm. Rev Col Bras Cir 2016; 43(5):398-400. doi: 10.1590/0100-69912016005005.