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Late development of splenic artery aneurysm after orthotopic liver transplantation: a case report.
MedLine Citation:
PMID:  19460566     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Splenic artery aneurysm (SAA) is a rare complication after orthotopic liver transplantation (OLT). Although SAAs are often incidental findings, in some cases they present with signs and symptoms of abdominal mass or intra-abdominal hemorrhage. The diagnosis requires Doppler ultrasound and confirmation with computed tomography, magnetic resonance, or angiography. Endovascular techniques are preferred to surgery for the treatment of most SAAs. A variable interval from 6 days to 11 years has been reported between OLT and the diagnosis of SAA, justifying a lifelong scheduled surveillance of abdominal vessels by ultrasound after OLT. Herein we have reported a case of SAA that developed 16 years after OLT. This pathological condition was totally asymptomatic. Only routine abdominal ultrasound allowed its detection and subsequent successful treatment.
Authors:
B E Annicchiarico; A W Avolio; G Caracciolo; B Barbaro; C Di Stasi; S Agnes; M Siciliano
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  41     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1383-5     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Catholic University of Rome, "A. Gemelli" Hospital, Rome, Italy. terapiamedica@tin.it
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