Conservative Management of a Splenic Artery Aneurysm in Pregnancy: A Case Report-Reference-Cited by-同舟云学术

Conservative Management of a Splenic Artery Aneurysm in Pregnancy: A Case Report

Published:2020-12-21 Issue: Volume:3 Page:
ISSN:2516-3302
Container-title:Vascular and Endovascular Review
language:en
Short-container-title:

Author:

Gatmaitan Raleene¹,Werner-Gibbings Keagan²,Sallam Morad³,Bell Rachel³,Gkoutzios Panos⁴

Affiliation:

1. Nepean Hospital, Kingswood, NSW, Australia

2. Nepean Hospital, Kingswood, NSW, Australia; Department of Vascular Surgery, Guy’s Hospital, London, UK; Department of Vascular Surgery, St Thomas’ Hospital, London, UK

3. Department of Vascular Surgery, Guy’s Hospital, London, UK; Department of Vascular Surgery, St Thomas’ Hospital, London, UK

4. Department of Radiology, Guy’s Hospital, London, UK.

Abstract

Splenic artery aneurysms (SAA) are a rare and life-threatening pathology. Ruptured SAA has a mortality rate of up to 25%, with increased rates of rupture in pregnancy, pseudoaneurysm, liver transplantation, portal hypertension, symptomatic SAA and diameter >2 cm. Management of SAA in pregnant women is poorly described in the literature, making treatment of these patients difficult. Furthermore, careful consideration of complications for both the mother and the foetus need to be taken into account. This case report demonstrates that conservative management with monthly surveillance MRI can be used as viable treatment option of an asymptomatic 17 mm splenic artery aneurysm in a pregnant woman.

Publisher

Radcliffe Group Ltd

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