Giant splenic artery aneurysm: case report.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI:10.1590/1677-5449.20230108
Aleksey Vasilyevich Shabunin, Vladimir Vladimirovich Bedin, Mikhail Mikhailovich Tavobilov, Аleksey Andreevich Karpov, Fariza Fayzulloevna Alieva
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Abstract

True splenic artery aneurysms are exceedingly rare and the medical literature contains only a limited number of reports on this pathology. Presently, there remains a lack of consensus regarding the optimal management and treatment approaches for patients in this category. Over the course of the last century, significant changes have occurred in the realm of surgical options, transitioning from open and endovascular procedures to the more advanced laparoscopic and robotic interventions. The propensity for these aneurysms to rupture underscores the need for timely intervention. The risk of rupture is notably elevated in patients harboring giant splenic artery aneurysms. In this report, we present the case of a 55-year-old woman diagnosed with a giant splenic artery aneurysm measuring 12x12 cm in diameter. She presented with notable weakness, discomfort, and pain in the left subcostal area. In response to her complaints and after thorough evaluation, we opted for a surgical procedure encompassing distal pancreatic resection in conjunction with splenectomy and resection of the giant splenic artery aneurysm.

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巨大脾动脉瘤:病例报告。
真正的脾动脉瘤极为罕见,医学文献中关于这种病理的报道数量有限。目前,对于这类患者的最佳管理和治疗方法仍缺乏共识。在上个世纪,手术选择领域发生了重大变化,从开腹手术和血管内手术过渡到更先进的腹腔镜和机器人介入手术。这些动脉瘤的破裂倾向突出了及时干预的必要性。巨大脾动脉瘤患者的破裂风险明显升高。在本报告中,我们介绍了一名 55 岁女性的病例,她被诊断出患有直径为 12x12 厘米的巨大脾动脉瘤。她出现了明显的左肋下部位无力、不适和疼痛。针对她的主诉,经过全面评估后,我们选择了外科手术,包括胰腺远端切除术、脾切除术和巨大脾动脉瘤切除术。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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