Splenic artery aneurysm: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
*Initial [[FAST exam]] may show fluid in left upper quadrant if ruptured aneurysm | |||
*CTA Abdomen/Plevis is the gold standard<ref>Casadei R. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes? JOP 2007;8:235–9</ref> | |||
==Management== | ==Management== | ||
==Disposition== | ==Disposition== | ||
*Any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with alpha-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age requires consultation with a vascular surgeon for ligation or embolization. | |||
*Greater than 2cm: Requires consult with a vascular surgeon for ligation or embolization. <ref>Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.</ref> | |||
*Less than 2cm: Discharge with follow up with PCP or vascular surgeon for surveillance scans at six months and then every 1-2 years<ref>Abbas, Maher A. "Splenic Artery Aneurysms: Two Decades Experience at Mayo Clinic." Annals of Vascular Surgery 16.4 (2002): 442-49. </ref><ref>Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref> | |||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 13:11, 17 October 2015
Background
Clinical Features
Differential Diagnosis
Diagnosis
- Initial FAST exam may show fluid in left upper quadrant if ruptured aneurysm
- CTA Abdomen/Plevis is the gold standard[1]
Management
Disposition
- Any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with alpha-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age requires consultation with a vascular surgeon for ligation or embolization.
- Greater than 2cm: Requires consult with a vascular surgeon for ligation or embolization. [2]
- Less than 2cm: Discharge with follow up with PCP or vascular surgeon for surveillance scans at six months and then every 1-2 years[3][4]
See Also
External Links
References
- ↑ Casadei R. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes? JOP 2007;8:235–9
- ↑ Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.
- ↑ Abbas, Maher A. "Splenic Artery Aneurysms: Two Decades Experience at Mayo Clinic." Annals of Vascular Surgery 16.4 (2002): 442-49.
- ↑ Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.