Three patients with large splenic artery aneurysms (SAA) are presented, together with a review of the possible etiologies and the clinical and therapeutic aspects. SAA should be suspected in any patient with left upper quadrant pain and unexplained blood loss, especially if the patient is pregnant, and should be aggressively treated as outlined here.
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References
1.
Bedford PD, Lodge B.: Aneurysms of the splenic artery. GUT1:312-320, 1960.
Kreel L.: The recognition and incidence of splenic artery aneurysm. A historical review. Aust Rad16:126-136, 1972.
4.
Stanely JC, Fry WJ: Pathogenesis and clinical significance of splenic artery aneurysms. Surgery76:898-909, 1974.
5.
Taylor W., Woodard DA: Splenic conservation and the management of splenic artery aneurysms. Ann R Coll Surg Engl69:179-180, 1987.
6.
Cooper MJ, Williamson RC: Splenectomy: Indications, hazards, and alternatives. Br J Surg71:173-180, 1984.
7.
DeVries J., Marinus E., Shattenkerk R., et al: Complications of splenic artery aneurysms other than intraperitoneal rupture. Surgery91:200-203, 1982.
8.
Matinez E., Menendez AR, Albanedo P.: Splenic artery aneurysms. Int Surg71:95-99, 1986.
9.
Green DR, Gorey TF, Tanner WA, et al: The diagnosis and management of splenic artery aneurysm. J R Soc Med81:387-388, 1988.
10.
Probst P., Castaneda-Zuniga WR, Gomes AS, et al: Nonsurgical treatment of splenic artery aneurysms. Diag Radiol128:619-623, 1978.
11.
Mandel S., Jaques P., Sanofsky S., et al: Nonoperative management of peripancreatic arterial aneurysms. A 10 year experience. Ann Surg205:126-128, 1987.
