Splenic artery aneurysm as an unusual cause of new onset ascites: a case report.

Autor: Goshayeshi L; Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Vosoghinia H; Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Rajabzadeh F; Radiology Department, Mashhad Branch, Islamic Azad University of Medical Sciences, Mashhad, Iran., Ahadi M; Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Asadi Sakhmaresi T; Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Farzanehfar MR; Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Jazyk: angličtina
Zdroj: Middle East journal of digestive diseases [Middle East J Dig Dis] 2014 Jan; Vol. 6 (1), pp. 37-41.
Abstrakt: Splenic artery aneurysm (SAA) is a rare and potentially life-threatening clinical entity that carries a risk of rupture and peritoneal hemorrhage. When ruptured, it typically manifests as abdominal pain with hemodynamic instability. This is a report about a 29-year-old male admitted for evaluation of recentonset ascites following the spontaneous resolution of a transient episode of severe epigastric and left upper quadrant pain with syncope the preceding day. Paracentesis revealed bloody fluid. Abdominal computed tomographic angiography (CTA) and magnetic resonance venography (MRV) showed a three centimeter SAA. During admission, prompt exploratory laparotomy was performed that revealed excessive intraperitoneal hemorrhage due to a ruptured SAA. The pathology report confirmed that the SAA had developed secondaryto atherosclerosis. Careful history taking together with appropriate imaging tests and emergent surgical intervention led to a timely diagnosis and the patient' ssurvival.
Databáze: MEDLINE
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