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KMID : 0978820030060010055
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2003 Volume.6 No. 1 p.55 ~ p.59
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Laparoscopic Resection of a Splenic Artery Aneurysm
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Lee Sang-Chul
Lee Sang-Kuon
Kim Eung-Kook
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Abstract
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Splenic artery aneurysm is a rare disease that can be ruptured in about 10% with lethal consequences. It is more frequent in women and it is believed that factors such as the medial fibrodysplasia, multiple pregnancies, portal hypertension, splenomegaly, and after orthotopic liver transplantation predispose to the formation of aneurysm. Most of these aneurysms are asymptomatic; however, a 20% of patients presents symptoms such as abdominal pain, pallor and hypovolemic shock. The treatment consists of aneurismal resection and splenectomy when necessary and recently, laparoscopic approaches have been reported in the literature.
Our case was a 70 year-old male who presented with several episodes of biliary colics. During work-up, multiple gallbladder stones were found and a 2.5 cm-sized distal splenic artery aneurysm was incidentally observed on abdominal CT scan. In an elective base, we successfully performed laparoscopic resection of the aneurysm with spleen preservation. Ligation devices were utilized for excluding the aneurysm. This patient showed an uneventful recovery and was discharged from hospital on postoperative day 4. On follow up examination, this patient is doing well without any complication. In conclusion, laparoscopic resection of splenic artery aneurysm is feasible and safe; in addition, spleen preservation is also possible in selected cases.
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KEYWORD
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Aneurysm, Splenic artery, Laparoscopy, Resection
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