OBJECTIVES The true giant splenic artery aneurysms are extremely rare and can be fatal. Although surgical approach has been the standard of care in the past, endovascular methods gained more importance in recent years. BACKGROUND We describe a case with true giant splenic artery aneurysm, treated with endovascular approach. METHODS A 68-year-old female patient with abdominal pain admitted t...

We observed a rare variation of splenic artery during the routine dissection in the Laboratory of the Anatomy Department. It arose from the splenic artery toward the distal part of transverse colon which typically supplied by the inferior mesenteric artery. Embryologically distal part of the transverse colon is a segment of hindgut. In this case, splenic artery which an artery of foregut suppli...

Although gauze packing and planned reoperation has been documented for the treatment of liver trauma, it has not been described for the management of the ruptured spleen. We document a single case of a grade I splenic injury, which occurred during an emergency subtotal colectomy for a massive lower gastrointestinal bleed. The options of suturing and packing with absorbable mesh failed in the pr...

Forty-two patients with traumatic blunt splenic injuries were admitted over a six year period. Vehicular-related collisions and fall from height accounted for the injuries in 38 (90.5%) of them. Eleven (26.2%) underwent immediate surgery (7 splenectomy and 4 splenorrhaphy), while the remaining 31 patients were treated nonoperatively of which 3 underwent angio-embolisation. Twenty seven patients...

A 70-year-old man with a 17-year history of ischemic heart disease presented with epigastric pain, body weight loss and fatigue of a two-month duration. On examination, there was no tenderness on palpation of the abdomen. Laboratory tests of tumor markers revealed a CA 19-9 of 37 U/mL (reference range: 0-37 U/mL), a DUPAN-2 of 1,200 U/mL (reference range: 0-150 U/mL) and a SPan-1 of 7,300 U/mL ...

Splenic injury is a preventable cause of mortality following blunt trauma. The majority of splenic injuries can be managed conservatively. Laparotomy is indicated in the haemodynamically unstable patient, or those with other intra-abdominal injuries requiring surgery. Angio-embolization can be used to achieve haemostasis and preserve splenic parenchyma. The expertise and experience of the multi...

Whole body hyperthermia (WBH) has been used in experimental settings as an adjunct to radiochemotherapy for the treatment of various malignant diseases. The therapeutic effect of WBH has been hypothesized to involve activation of the immune system, although the effect of hyperthermia-induced activation of sympathetic nerve discharge (SND) on splenic immune function is not known. We tested the h...

Splenic abscess is an uncommon but potentially life-threatening disease that generally occurs in patients with neoplasia, immunodeficiency, hemoglobinopathies, trauma, metastatic infection, splenic infarction and diabetes. Splenic abscess should be considered in a patient with fever, left upper abdominal pain, and leukocytosis. Splenectomy has been the gold standard treatment for splenic absces...