Splenic artery aneurysm
Background
Clinical Features
Differential Diagnosis
Diagnosis
- CT
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.
- Less than 2cm: Discharge with follow up with PCP or vascular surgeon for surveillance scans at six months and then every 1-2 years
See Also
External Links
References
Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157. Web.
Abbas, Maher A. "Splenic Artery Aneurysms: Two Decades Experience at Mayo Clinic." Annals of Vascular Surgery 16.4 (2002): 442-49. Web.
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. Web