Splenic Artery Aneurysms are commonly detected incidentally and can present acutely as a source of intra-abdominal catastrophe. Management options include both surgical and endovascular repair. The role of endovascular repair in an haemodynamically stable acute rupture is undefined and the use of Amplatzer(®) Vascular Plug has not to our knowledge been reported.

1 of 2 DESCRIPTION A 56-year-old man was referred to our clinic to investigate the chronic diarrhoea and weight loss. He was healthy until 3 months before admission. He gradually developed chronic small bowel-type diarrhoea. He was a retired man with no history of illness in the past. He never smoked. On physical examination, he was ill and wasted. There were pallor and a brown-pigmented, 5×3 c...

BACKGROUND It has been reported that median arcuate ligament syndrome is closely associated with gastric or pancreaticoduodenal artery aneurysms. Hemodynamic state plays an important role in the formation of the aneurysms. These aneurysms are treated with open resection or endovascular exclusion. However, whether revascularization of the celiac artery can prevent the aneurysm formation is unkno...

BACKGROUND Splenic artery aneurysm (SAA) rupture is life-threatening. Although elective transcatheter arterial embolization (TAE) suggested low in-hospital death in previous studies, there has been no large multi-center study of elective TAE for SAA. PURPOSE To examine the short-term outcomes of TAE for splenic artery aneurysm (SAA) and analyze the factors associated with the outcomes, includ...

endovascular techniques (stents or selective embolization) or surgery (either open or laparoscopic in selected cases) in order to resect the aneurysm or ligate the splenic artery, while attempting to preserve the spleen. For the diagnosis of ruptured splenic aneurysms, computed tomography with intravenous contrast is the best option in the emergency setting in hemodynamically stable patients. H...

Three weeks ago (BMJ 2003;326:588) we published the case of Ruth, who presented to her general practitioner with a rash after feeling unwell for some time. She had dermatomyositis diagnosed and, during investigation for possible underlying causes, was found to have an aneurysm of the splenic artery (BMJ 2003;326:640). Ruth’s case was discussed at a multidisciplinary meeting and a decision was m...