Splenic artery aneurysm

ABSTRACT Splenic artery aneurysms - the most common visceral artery aneurysms - are found most often in multiparous women and in patients with portal hypertension. Indications for treatment of splenic artery aneurysm or pseudoaneurysm include specific symptoms, female gender and childbearing age, presence of portal hypertension, planned liver transplantation, a pseudoaneurysm of any size, and an aneurysm with a diameter of more than 2.5cm. Historically, the treatment of splenic artery aneurysm has been surgical ligation of the splenic artery, ligation of the aneurysm, or aneurysmectomy with or without splenectomy, depending on the aneurysm location. There are other percutaneous interventional techniques. The authors present a case of a splenic artery aneurysm in a 51-year-old woman, detected incidentally.

【摘要】脾动脉动脉瘤（splenic artery aneurysm）作为最常见的内脏动脉动脉瘤（visceral artery aneurysms），高发于经产妇及门静脉高压症（portal hypertension）患者。脾动脉动脉瘤或假性动脉瘤（pseudoaneurysm）的治疗指征包括：特异性临床症状、女性性别与育龄期、合并门静脉高压症、拟行肝移植术、任意大小的假性动脉瘤，以及直径大于2.5cm的动脉瘤。既往脾动脉动脉瘤的治疗手段主要包括外科结扎脾动脉、动脉瘤结扎术，或根据动脉瘤位置行动脉瘤切除术（可联合或不联合脾切除术）；此外尚有经皮介入治疗技术。本文作者报告1例51岁女性偶然检出的脾动脉动脉瘤病例。