Aneurysm of anomalous splenic artery arising from a splenomesenteric trunk: Review of the literature with a report of a new case.

Autor:	Kakamad FH; College of Medicine, University of Sulaimani, Sulaimani, Kurdistan, Iraq; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq. Electronic address: fahmi.hussein@univsul.edu.iq., Hammood ZD; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq., Salih AM; College of Medicine, University of Sulaimani, Sulaimani, Kurdistan, Iraq; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq., Abdalla BY; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; Shar Hospital, Sulaimani, Kurdistan, Iraq., Mohammed KS; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; Shar Hospital, Sulaimani, Kurdistan, Iraq., Karim SO; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; College of Nursing, University of Sulaimani, Sulaimani, Kurdistan, Iraq., Hamasalih HM; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; College of Nursing, University of Sulaimani, Sulaimani, Kurdistan, Iraq., Salih RQ; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq., Mohammed SH; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq., Qadr OO; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq., Sofi Mohammed HA; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq., Hussein SI; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq., Anwar SB; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq., Abulkarim UY; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2021 Mar; Vol. 80, pp. 105618. Date of Electronic Publication: 2021 Feb 03.
DOI:	10.1016/j.ijscr.2021.02.004
Abstrakt:	Introduction: Aneurysm of splenic artery arising from splenomesentric trunk is an extremely rare condition. The aim of this study is to report a new case with literature review. Presentation of Case: A 52-year-old housewife presented with mild central abdominal pain for two month duration. Abdomen was soft. Abdominal ultrasound examination showed a focal aneurysmal dilatation in the splenic artery (SA) near the portal vein. Abdominal computed tomographic angiography (CTA) revealed presence of the splenomesentric trunk with fusiform aneurysm (45 × 33 mm) of the proximal part of the SA. In supine position, through upper midline laparotomy incision, exploration of both superior mesenteric artery (SMA) and SA was performed, total excision of the aneurysm was done, the SMA was side-repaired and SA was ligated. The post-operative period was uneventful. Discussion: It is interesting to note that orthotopic SA aneurysms, most commonly present in the distal third of the artery, followed by the middle third, while in cases of splenomesentric trunk, all reported cases of anomalous SA aneurysms including the current one, showed the aneurysms to be located in the proximal portion or root of the SA. Conclusion: Splenomesentric trunk is a rare anatomical anomaly, aneurysm of which is even rarer. It can be managed either by endovascular intervention or open surgery. (Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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