Splenic artery aneurysm: Difference between revisions
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==Background== | ==Background== | ||
*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm after the aorta and iliac vessels. | *The most common visceral arterial aneurysm, and the third most common abdominal aneurysm after the aorta and iliac vessels. | ||
*The incidence of splenic artery aneurysms on CT is 0.8%<ref name="khosa">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. | *The incidence of splenic artery aneurysms on CT is 0.8%<ref name="khosa">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. | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 02:47, 18 October 2015
Background
- The most common visceral arterial aneurysm, and the third most common abdominal aneurysm after the aorta and iliac vessels.
- The incidence of splenic artery aneurysms on CT is 0.8%Cite error: Closing
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Management
- Emergent laparotomy for ruptured aneurysm.
Disposition
- Any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with α-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. [1]
- Less than 2cm: Discharge with follow up with PCP or vascular surgeon for surveillance scans at six months and then every 1-2 years[2][3]
See Also
External Links
References
- ↑ 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.
- ↑ Cite error: Invalid
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