Document Detail


Splenic artery aneurysm. A rare cause of upper gastrointestinal bleeding.
MedLine Citation:
PMID:  2393195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most splenic artery aneurysms (SAAs) are asymptomatic at the time of discovery, being found incidentally during laparotomy or angiography. SAAs are most likely to be found in multiparous women. Complications of SAAs include free intraperitoneal rupture and erosion into abdominal viscera or vessels, with resultant high mortality. Surgery is indicated for symptomatic, enlarging, or large (greater than or equal to 2.5 cm) SAAs as well as any SAA found in women of childbearing age. Treatment of such aneurysms depends on the location and includes excision, ligation, and splenectomy. The present report presents the first known case, to our knowledge, of SAA presenting with massive upper gastrointestinal bleeding from erosion into the stomach in a nulliparous woman. Prompt surgical intervention resulted in correct diagnosis and patient survival.
Authors:
C J Lambert; J W Williamson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  56     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1990-10-03     Completed Date:  1990-10-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  543-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, North Mississippi Medical Center, Tupelo.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm / complications,  diagnosis*,  surgery
Female
Gastrointestinal Hemorrhage / etiology*
Humans
Splenic Artery*

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