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Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390

Abstract

PERDOMO REYES, Carolina  and  GONZALEZ GONZALEZ, Daniel. Multiple splenic artery aneurysm. Rev. Méd. Urug. [online]. 2023, vol.39, n.2, e981.  Epub June 01, 2023. ISSN 0303-3295.  https://doi.org/10.29193/rmu.39.2.8.

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.

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