| Autor: |
Ktenidis, Kiriakos, Manaki, Vasiliki, Kapoulas, Konstantinos, Kourtellari, Eleni, Gionis, Michalis |
| Předmět: |
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| Zdroj: |
American Journal of Case Reports; 11/27/2018, Vol. 19, p1410-1015, 6p |
| Abstrakt: |
Objective: Rare co-existance of disease or pathology. Background: Splenic aneurysms are rare, asymptomatic, and usually derive from previous surgical interventions. Endovascular repair is the best option, but when A-V shunt is present, open repair might be more suitable. Case Report: A 43-year-old man presented to the Internal Medicine Department of AHEPA University Hospital with symptoms of fever and ascites. He was an ex-medical student with a history of sickle cell anemia, who had undergone urgent splenectomy and cholecystectomy 26 years ago and had a transit ischemic attack at the age of 21 years. Diagnostic imaging control revealed a giant splenic aneurysm 9.8 cm in diameter and 5 cm in length, with a concomitant A-V shunt (due to common ligation of the vessels after splenectomy and long stump presence with concomitant erosion of arterial wall). The patient underwent open surgery and cross-clamping the orifice of the splenic artery, also including the splenic vein, and the vessels were ligated. Post-operatively, the patient remained in the Intensive Care Unit for 48 h and suffered a portal vein thrombosis treated with appropriate anticoagulants. One month later, he had acute hemorrhagic pancreatitis and paralytic ileus and underwent laparotomy performed by general surgeons. Conclusions: Giant splenic aneurysms are rare and are usually caused by previous splenectomy and preservation of a longvessel stump. Immediate surgical repair is mandatory because of the high risk of rupture. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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