Abstract
Visceral arterial (VAA) and, specifically, splenic arterial aneurysms (SAA) are rare entities often associated with pregnancy. When ruptured, they can be fatal and require emergent management. This case report includes a review of the relevant literature and describes a unique, multidisciplinary approach to managing such an aneurysm. We describe the difficult situation of an already rupturing aneurysm and the careful coordination of obstetric, surgical, vascular, and interventional radiology teams. The distinctiveness of this case continues with the intraoperative finding of metallic coils freely protruding into the peritoneum from a recently coil-embolized ruptured splenic artery aneurysm. Such iatrogenic foreign bodies are a product of the integration of multiple specialities that can provide life-saving care when managing critical surgical disease such as ruptured splenic artery aneurysms. Multidisciplinary approaches should be considered depending upon the resources available at one’s institution.
Highlights
A Unique Presentation of Splenic Artery Aneurysm During PregnancyThomas Kania1, *, Samuel Hawkins , Vasiliy Sim , Jonathan Deitch , Asaf Gave
Splenic artery aneurysms (SAA) are a rare but life-threatening entity, with a well-documented risk of rupture [1, 2]
The most common pathophysiologic finding in visceral arterial aneurysm is a defect in tunica media [5]
Summary
Thomas Kania1, *, Samuel Hawkins , Vasiliy Sim , Jonathan Deitch , Asaf Gave .
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