The case of left loin pain and aneurysm of the splenic artery

Authors

  • Kamel El-Reshaid Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait
  • Shaikha Al-Bader Department of Medicine, kidney unit, Al-Amiri Hospital, Kuwait
  • Zhaneta Markova Department of radiology, Qutaina medical center, Kuwait

Abstract

True splenic artery aneurysms (SAA) are rare, but potentially fatal, lesions. They account for 60% to 70% of patients diagnosed with visceral artery aneurysms.  They should be differentiated from pseudo ones since the etiology is different.  They risk of rupture is high if diameter is > 2 cm and in child-bearing years.  In this case report; we describe an encounter of SAA in a patient presenting with severe left loin pain and shock due to acute pyelonephritis.  The aneurysm was 1.2 cm and was partially thrombosed and calcified indicating its stability and chronicity.  The etiology, types and management of SAAs is discussed. 

Keywords: abdominal pain, aneurysm, pseudoaneurysm, rupture, splenic artery.

Keywords:

abdominal pain, aneurysm, pseudoaneurysm, rupture, splenic artery

DOI

https://doi.org/10.22270/jddt.v11i2-S.4630

Author Biographies

Kamel El-Reshaid, Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait

Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait

Shaikha Al-Bader, Department of Medicine, kidney unit, Al-Amiri Hospital, Kuwait

Department of Medicine, kidney unit, Al-Amiri Hospital, Kuwait

Zhaneta Markova, Department of radiology, Qutaina medical center, Kuwait

Department of radiology, Qutaina medical center, Kuwait

References

Trastek VF, Pairolero PC, Joyce JW, Hollier LH, Benatz PE. Splenic artery aneurysms. Surgery. 1982; 91:694-699.

Therakathu J, Panwala HK, Bhargava S, Eapen A, Keshava SN, David D. Contrast-enhanced Computed Tomography Imaging of Splenic Artery Aneurysms and Pseudoaneurysms: A Single-center Experience. J Clin Imaging Sci. 2018; 8:37.

Stanley JC, Thomas NW, Fry WJ. Splanchnic artery aneurysms. Arch Surg. 1970; 1010:689-697.

Bedford PD, Lodge B. Aneurysm of the splenic artery. Gut 1960; 1: 312-320.

Moore SW, Guida PM, Schumacher HW. Splenic artery aneurysm. Bull Soc Int Chir. 1970; 29:210-218.

Abass MA, Stone WM, Fowl RJ, et al. Splenic artery aneurysms: two decades experience at Mayo clinic. Ann Vasc Surg. 2002; 16:442-449.

Veluppillai C, Perreve S, de Kerviler B, Ducarme G. Splenic arterial aneurysm and pregnancy: A review. Presse Med. 2015 Oct; 44(10):991-994.

Hogendoorn W, Lavida A, Hunink MG, et al. Open repair, endovascular repair, and conservative management of true splenic artery aneurysms. J Vasc Surg. 2014; 60:1667-76.e1.

Al-Habbal Y, Christophi C, Muralidharan V. Aneurysms of the splenic artery—a review. Surgeon. 2010; 8:223-31.

Remy D, Linder JL. Splenic aneurysm rupture: case report and review of the literature. Acta Chir Belg. 1993; 93:54-57.

Kassem MM, Gonzalez L. Splenic Artery Aneurysm. [Updated 2020 Aug 24]. In: Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430849/.

Tessier DJ, Stone WM, Fowl RJ, et al. Clinical features and amangement of splenic artery pseudoaneurysm: case report and cumulative review of the literature. J Vasc Surg 2003; 38:969-974.

Loffroy R, Guiu B, Cercueil JP, Lepage C, Cheynel N, Steinmetz E, Ricolfi F, Krausé D. Transcatheter arterial embolization of splenic artery aneurysms and pseudoaneurysms: short- and long-term results. Ann Vasc Surg. 2008; 22:618-26.

Batagini NC, El-Arousy H, Clair DG, Kirksey L. Open versus Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms. Ann Vasc Surg. 2016; 35:1-8.

Guillon R, Garcier JM, Abergel A, Mofid R, Garcia V, Chahid T, Ravel A, Pezet D, Boyer L. Management of splenic artery aneurysms and false aneurysms with endovascular treatment in 12 patients. Cardiovasc Intervent Radiol. 2003; 26:256-260.

Published

2021-04-15
Statistics
Abstract Display: 739
PDF Downloads: 691
PDF Downloads: 1529

How to Cite

1.
El-Reshaid K, Al-Bader S, Markova Z. The case of left loin pain and aneurysm of the splenic artery. J. Drug Delivery Ther. [Internet]. 2021 Apr. 15 [cited 2026 Feb. 2];11(2-S):24-7. Available from: https://www.jddtonline.info/index.php/jddt/article/view/4630

Issue

Vol. 11 No. 2-S (2021): Volume 11, Issue 2-S, March-April 2021

Section

Research

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

How to Cite

1.
El-Reshaid K, Al-Bader S, Markova Z. The case of left loin pain and aneurysm of the splenic artery. J. Drug Delivery Ther. [Internet]. 2021 Apr. 15 [cited 2026 Feb. 2];11(2-S):24-7. Available from: https://www.jddtonline.info/index.php/jddt/article/view/4630
Crossref
Scopus
Google Scholar
Europe PMC

Most read articles by the same author(s)

> >>