Fact-sheet: Splenic artery aneurysm
Updated on 03/26/2020 at 1:36 PM
Note : 0/10
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Definition
True aneurysm: focal arterial dilation of the splenic artery without alteration of the 3 layers.
Clinical features
Most are asymptomatic.
Abdominal pain (fissuring syndrome, rupture, Splenic infarction, and hemorrhagic shock)
CT
Preoperative workup to assess shape, dimensions, position, and wall status to plan vascular access.
Postoperative surveillance.
Vascular intervention
Endovascular treatment, either conservative or occlusive.
Management
Treatment indicated for:
> 2 cm in women of childbearing age
> 2 cm in patients awaiting transplantation
Pseudoaneurysm: systematically.