Rebleeding of a Splenic Artery Aneurysm after Coil Embolisation
Background. Splenic artery aneurysm (SAA) is an uncommon and difficult diagnosis. SAA is more common in females. Only 20% of SAA is symptomatic and may present as a rupture. A ruptured SAA is associated with a 25% mortality rate. Case Presentation. We present a case of a male patient with a bleeding...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/1858461 |
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| author | Kyra D. Kingma Antonius N. van der Linden Rudi M. H. Roumen |
| author_facet | Kyra D. Kingma Antonius N. van der Linden Rudi M. H. Roumen |
| author_sort | Kyra D. Kingma |
| collection | DOAJ |
| description | Background. Splenic artery aneurysm (SAA) is an uncommon and difficult diagnosis. SAA is more common in females. Only 20% of SAA is symptomatic and may present as a rupture. A ruptured SAA is associated with a 25% mortality rate. Case Presentation. We present a case of a male patient with a bleeding SAA that rapidly increased in size. Distal coiling was technically impossible and despite proximal coil embolisation the SAA continued to bleed. A laparotomy including splenectomy and partial pancreatectomy was performed with an uneventful patient recovery. Discussion. Endovascular management is currently considered the optimal treatment of SAA. However, careful monitoring and follow-up is needed after embolisation as rapid recanalization of the SAA may possibly occur, especially when distal coiling of the aneurysm is unsuccessful. Conclusion. Endovascular treatment of an SAA is not necessarily effective. Surgeons must be prepared to perform open procedures to further reduce mortality rates. |
| format | Article |
| id | doaj-art-0ab3938146e54dbe94d8bcb4309e11c7 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-0ab3938146e54dbe94d8bcb4309e11c72025-02-03T00:59:26ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/18584611858461Rebleeding of a Splenic Artery Aneurysm after Coil EmbolisationKyra D. Kingma0Antonius N. van der Linden1Rudi M. H. Roumen2Emergency Department, Máxima Medical Centre, Veldhoven, NetherlandsRadiology Department, Máxima Medical Centre, Veldhoven, NetherlandsSurgery Department, Máxima Medical Centre, Veldhoven, NetherlandsBackground. Splenic artery aneurysm (SAA) is an uncommon and difficult diagnosis. SAA is more common in females. Only 20% of SAA is symptomatic and may present as a rupture. A ruptured SAA is associated with a 25% mortality rate. Case Presentation. We present a case of a male patient with a bleeding SAA that rapidly increased in size. Distal coiling was technically impossible and despite proximal coil embolisation the SAA continued to bleed. A laparotomy including splenectomy and partial pancreatectomy was performed with an uneventful patient recovery. Discussion. Endovascular management is currently considered the optimal treatment of SAA. However, careful monitoring and follow-up is needed after embolisation as rapid recanalization of the SAA may possibly occur, especially when distal coiling of the aneurysm is unsuccessful. Conclusion. Endovascular treatment of an SAA is not necessarily effective. Surgeons must be prepared to perform open procedures to further reduce mortality rates.http://dx.doi.org/10.1155/2016/1858461 |
| spellingShingle | Kyra D. Kingma Antonius N. van der Linden Rudi M. H. Roumen Rebleeding of a Splenic Artery Aneurysm after Coil Embolisation Case Reports in Surgery |
| title | Rebleeding of a Splenic Artery Aneurysm after Coil Embolisation |
| title_full | Rebleeding of a Splenic Artery Aneurysm after Coil Embolisation |
| title_fullStr | Rebleeding of a Splenic Artery Aneurysm after Coil Embolisation |
| title_full_unstemmed | Rebleeding of a Splenic Artery Aneurysm after Coil Embolisation |
| title_short | Rebleeding of a Splenic Artery Aneurysm after Coil Embolisation |
| title_sort | rebleeding of a splenic artery aneurysm after coil embolisation |
| url | http://dx.doi.org/10.1155/2016/1858461 |
| work_keys_str_mv | AT kyradkingma rebleedingofasplenicarteryaneurysmaftercoilembolisation AT antoniusnvanderlinden rebleedingofasplenicarteryaneurysmaftercoilembolisation AT rudimhroumen rebleedingofasplenicarteryaneurysmaftercoilembolisation |