Clinical features and management of splenic artery pseudoaneurysm

Case series and cumulative review of literature

Deron J. Tessier, William M. Stone, Richard J. Fowl, Maher A. Abbas, James C. Andrews, Thomas C. Bower, Peter Gloviczki

Research output: Contribution to journalArticle

169 Citations (Scopus)

Abstract

Introduction: Splenic artery pseudoaneurysm is uncommon. We report our institution's recent 18-year experience with these aneurysms and review the literature. Methods: We reviewed the records for 37 patients with visceral artery pseudoaneurysm evaluated at our institution from 1980 to 1998. From this group we found only 10 patients (27%) with splenic artery pseudoaneurysm. We also reviewed 147 cases of splenic artery pseudoaneurysm reported in the English literature. Results: In this series of 10 patients, 5 were men. Mean age was 51.2 years (range, 35-78 years). Causes of aneurysm included chronic pancreatitis in 4 patients, trauma in 2 patients, iatrogenic cause in 1 patient, and unknown cause in 3. The most common symptom was bleeding in 7 patients and abdominal or flank pain in 5 patients; 2 patients had no symptoms. Aneurysm diameter was known for four pseudoaneurysms, and ranged from 0.3 to 3 cm (mean, 1.7 cm). Splenectomy and distal pancreatectomy were performed in 4 patients, splenectomy alone in 2 patients, endovascular transcatheter embolization in 2 patients, and simple ligation in 1 patient. One patient with a ruptured pseudoaneurysm died before any intervention could be performed; there were no postoperative deaths. Follow-up data were available for 7 patients, with a mean of 46.3 months (range, 4.5-120 months). Conclusions: Splenic artery pseudoaneurysm is rare and usually is a complication of pancreatitis or trauma. Average aneurysm diameter in our series of 10 patients was smaller than previously reported (1.7 cm vs 5.0 cm). Although conservative management has produced excellent results in some reports, from our experience and the literature, we recommend repair of all splenic artery pseudoaneurysms.

Original languageEnglish (US)
Pages (from-to)969-974
Number of pages6
JournalJournal of Vascular Surgery
Volume38
Issue number5
DOIs
StatePublished - Nov 2003

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Splenic Artery
False Aneurysm
Aneurysm
Splenectomy
Literature
Flank Pain
Pancreatectomy
Wounds and Injuries
Chronic Pancreatitis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Tessier, D. J., Stone, W. M., Fowl, R. J., Abbas, M. A., Andrews, J. C., Bower, T. C., & Gloviczki, P. (2003). Clinical features and management of splenic artery pseudoaneurysm: Case series and cumulative review of literature. Journal of Vascular Surgery, 38(5), 969-974. https://doi.org/10.1016/S0741-5214(03)00710-9

Clinical features and management of splenic artery pseudoaneurysm : Case series and cumulative review of literature. / Tessier, Deron J.; Stone, William M.; Fowl, Richard J.; Abbas, Maher A.; Andrews, James C.; Bower, Thomas C.; Gloviczki, Peter.

In: Journal of Vascular Surgery, Vol. 38, No. 5, 11.2003, p. 969-974.

Research output: Contribution to journalArticle

Tessier, DJ, Stone, WM, Fowl, RJ, Abbas, MA, Andrews, JC, Bower, TC & Gloviczki, P 2003, 'Clinical features and management of splenic artery pseudoaneurysm: Case series and cumulative review of literature', Journal of Vascular Surgery, vol. 38, no. 5, pp. 969-974. https://doi.org/10.1016/S0741-5214(03)00710-9
Tessier, Deron J. ; Stone, William M. ; Fowl, Richard J. ; Abbas, Maher A. ; Andrews, James C. ; Bower, Thomas C. ; Gloviczki, Peter. / Clinical features and management of splenic artery pseudoaneurysm : Case series and cumulative review of literature. In: Journal of Vascular Surgery. 2003 ; Vol. 38, No. 5. pp. 969-974.
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