Abad C, Montesdeoca-Cabrera D, Sáez-Guzmán T
Servicio de Cirugía Cardiovascular, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria.
An Med Interna. 2006 Mar;23(3):130-2. doi: 10.4321/s0212-71992006000300008.
Among arterial aneurysms, splenic artery aneurysms are very uncommon in the current practice. The etiologic factors are in relation with: angiodysplasia, portal hypertension, pregnancy and atherosclerosis. The great majority are asymptomatic. Symptomatic cases are in relation with rupture in the peritoneum or in organs or structures of the vicinity. We present two cases of splenic artery aneurysm in a 57 year old man and in a 59 year old woman. In both cases the diagnosis was made by plain abdominal x-ray, abdominal scanner and abdominal aortography. Both cases were surgically treated by transverse laparotomy and total aneurysm resection. The pathology dictamen of the two cases was consistent with atherosclerosis. After 120 and 38 months of follow-up both patients are doing well and without evidence of splenic artery aneurysm. A review of this entity is exposed, with special reference in the etiology, symptomatology, diagnosis and treatment.
在动脉性动脉瘤中，脾动脉瘤在当前临床实践中非常少见。其病因与以下因素有关：血管发育异常、门静脉高压、妊娠和动脉粥样硬化。绝大多数患者无症状。有症状的病例与动脉瘤破裂至腹膜或附近器官或结构有关。我们报告两例脾动脉瘤病例，一例为57岁男性，另一例为59岁女性。两例均通过腹部平片、腹部扫描仪和腹部主动脉造影确诊。两例均通过横向剖腹术和动脉瘤全切除术进行手术治疗。两例的病理诊断均符合动脉粥样硬化。经过120个月和38个月的随访，两名患者情况良好，无脾动脉瘤复发迹象。本文对该疾病进行了综述，特别提及了其病因、症状、诊断和治疗。
