Abstract
Splenic artery pseudoaneurysm larger than 10 cm is a rare condition. The risk of rupture is probably high and surgical treatment is necessary. The objective of this article is to report a case of a patient with giant pseudoaneurysm of the splenic artery submitted to surgical resection. A 26-year-old man complaining of gastrointestinal hemorrhage and abdominal pain The patient’s medical history revealed that one year before he had an abdominal blunt trauma. The angiography showed a giant pseudoaneurysm of the splenic artery with compression of the stomach. The patient was operated on by abdominal access and the spleen and pseudoaneurysm were resected. The postoperative course was uneventful and the patient was discharged 13 days after surgery without problems.
Highlights
Splenic artery pseudoaneurysm larger than 10 cm is a rare condition
The objective of this article is to report a case of a patient with giant pseudoaneurysm of the splenic artery submitted to surgical resection
The angiography showed a giant pseudoaneurysm of the splenic artery with compression of the stomach
Summary
O aneurisma de artéria esplênica é o mais freqüente aneurisma de artérias viscerais. Sua ocorrência varia de 0,16% em uma autópsia não selecionada da população a 7,1% em autópsias realizadas em pacientes com hipertensão porta por cirrose. Estes aneurismas e os pseudoaneurismas raramente excedem em 3cm de diâmetro e maiores que 10 cm são excepcionais. Somente oito casos foram registrados na literatura 1,2. O trauma contuso está provavelmente envolvido na formação do pseudoaneurisma. O retardo no aparecimento varia de oito dias a dois anos. A história de trauma, o tamanho do hematoma e a ausência de outros fatores associados sugerem o diagnóstico. O principal risco na evolução do pseudoaneurisma gigante de artéria esplênica é a ruptura, sendo indicado o tratamento cirúrgico 2,3. Pretendemos neste estudo apresentar um caso de pseudoaneurisma gigante de artéria esplênica tratado com sucesso por cirurgia
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