Splenic Artery Aneurysm – Diagnosis and Treatment
https://doi.org/10.16931/1995-5464.20152104-110
Abstract
It is presented rare clinical observations of diagnosis and success surgical treatment of splenic artery aneurysm. According to results of preoperative complex examination true atherosclerotic splenic artery aneurysm without clinical signs was found out in three cases. False aneurysm was revealed in one patient with acute pancreatitis in anamnesis. Computed tomography, celiacography and endo-ultrasound are the most informative methods in diagnosis of splenic artery aneurysm. Based on the results of above-mentioned procedures it is possible to ensure accurate diagnosis and to ascertain therapeutic approach. Timely surgery makes possible to prevent fatal complications of splenic artery aneurysm
About the Authors
A. Ts. Butkevich
The Central Military Clinical Hospital of Military Unit 93998, Moscow; The Main Military Clinical Hospital of Military Unit 93998, Golitsino
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Chief Surgeon of Military Medical Administration of Military Unit 93998
A. E. Brovkin
The Central Military Clinical Hospital of Military Unit 93998, Moscow
Russian Federation
Russian Federation
Cand. of Med. Sci., Chief Surgeon of the Central Military Clinical Hospital of Military Unit 93998
M. N. Koshelev
The Central Military Clinical Hospital of Military Unit 93998, Moscow
Russian Federation
Russian Federation
Head of Cancer Department of the Central Military Clinical Hospital of Military Unit 93998
S. N. Gordeev
The Central Military Clinical Hospital of Military Unit 93998, Moscow
Russian Federation
Russian Federation
Surgeon of Cancer Department of the Central Military Clinical Hospital of Military Unit 93998
T. L. Silina
“Medical Rehabilitation Center” of Health Ministry of the Russian Federation
Russian Federation
Russian Federation
Physician of Endoscopy Department of “Medical Rehabilitation Center” of Health Ministry of the Russian Federation
V. Ya. Pan’ko
The Main Military Clinical Hospital of Military Unit 93998, Golitsino
Russian Federation
Russian Federation
Head of Vascular Department of the Main Military Clinical Hospital of Military Unit 93998
Yu. V. Baranova
The Central Military Clinical Hospital of Military Unit 93998, Moscow
Russian Federation
Russian Federation
Surgeon of Surgical Department of the Central Military Clinical Hospital of Military Unit 93998
References
1. Mattar S.G., Lumsden A.B. The management of splenic artery aneurysms: experience with 23 cases. Am. J. Surg. 1995; 169 (6): 580–584. PMID: 7771620.
2. Shor N.A., Ablitsov N.P., Zhitniy G.A. Reparative operation for ruptured splenic artery aneurysm. Vestnik khirurgii. 1982; 128 (6): 68–70. (In Russian)
3. Granov A.M., Polysalov V.N., Tarazov P.G., Saikin V.Kh. Cli nical aspects of diagnosis and treatment of splenic artery aneurysms. Klinicheskaya meditsina. 1990; 68 (11): 60–63. (In Russian)
4. Belov Yu.V. Rukovodstvo po sosudistoj khirurgii s atlasom operativnoj tehniki [Guidelines for vascular surgery with atlas of surgical technique]. Moscow: De Novo, 2000. P. 252–253. (In Russian)
5. Tarazov P.G., Ignatov A.M., Pavlovskiy A.V. Aneurysm of pancreatoduodenal artery associated with celiac trunk occlusion. Khirurgiia. 2000; 11: 49–50. (In Russian) PMID 11220922
6. Gavrilenko A.V., Sinyavich G.V., Dalinin V.V. Surgical treatment of aneurysms of unpaired visceral branches of the abdominal aorta. Khirurgiia. 2001; 7: 4–8. (In Russian) PMID: 11521308.
7. Shestopalov S.S., Mikhailova S.A., Tarasov A.N., Efremov A.P., Zinich N.F., Sarsenbaev B.Kh. False aneurysm of splenic artery as a complication of acute and chronic pancreatitis. Khirurgiia. 2012; 12: 14–18. (In Russian) PMID: 23257695.
8. Kuzin M.I., Danilov M.V., Blagovidov D.F. Khronicheskij pankreatit [Chronic pancreatitis]. Moscow: Medicine, 1985. 362 p. (In Russian)
9. Kubyshkin V.A., Zhelyabin D.G., Osokin G.Yu., Mamalygina L.A., Petrov D.Yu. Krovotechenie iz psevdokisty podzheludochnoj zhelezy v prosvet dvenadcatiperstnoj kishki. Klinicheskoe nabljudenie [Bleeding to duodenal lumen from pancreatic pseudocyst. Clinical case]. Materials of XVII International Congress of hepatology surgeons of CIS states “Actual issues of surgical hepatology”. Ufa, 15–17 of September, 2010. P. 223. (In Russian)
10. Ovchinikov V.A., Bazaev A.V., Zakharov L.G., Goshadze K. Lozhnye anevrizmy vetvej chrevnogo stvola v prosvete post nekroticheskih psevdokist podzheludochnoj zhelezy [False aneurysms of unpaired visceral branches in lumen of postnecrotic pancreatic pseudocyst]. Materials of XVII International Congress of hepa tology surgeons of CIS states “Actual issues of surgical hepa tology”. Ufa, 15–17 of September, 2010. P. 229–230. (In Russian)
11. Yashina N.I., Vilyavin M.Yu. Vozmozhnosti mul'tispiral'noj komp'juternoj tomografii v diagnostike anevrizm visceral'nyh vetvej brjushnoj aorty kak oslozhnenija hronicheskogo pankreatita [Performance capabilities of multispiral computed tomography in diagnosis of aneurysms of unpaired visceral branches of abdominal aorta as a complication of chronic pancreatitis]. Materials of XVII International Congress of hepatology surgeons of CIS states “Actual issues of surgical hepatology”. Ufa, 15–17 of September, 2010. P. 255. (In Russian)
12. Silina T., Butkevich A., Shpitonkov A. et al. Splenic artery pseudoaneurysm as a cause of gastric bleeding. 5th European EGEUS Congress. 2013; Р. 127.
Review
For citations:
Butkevich A.Ts., Brovkin A.E., Koshelev M.N., Gordeev S.N., Silina T.L., Pan’ko V.Ya., Baranova Yu.V. Splenic Artery Aneurysm – Diagnosis and Treatment. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(2):104-110. (In Russ.) https://doi.org/10.16931/1995-5464.20152104-110
Views:
4410
Email this article 