Female patient, 59 years old.
In a simple abdominal X-ray performed by his bedside physician, a rounded mass was detected and calcified in the left flank, which was initially labeled as a possible splenic artery aneurysm.
Abdominal CT and angio-MRI of the abdominal aorta were performed and confirmed the diagnosis of a splenic artery aneurysm near the hilium of the spleen.
The patient was asymptomatic and in her personal history highlighted: non-insulin dependent diabetes mellitus, lumbar spine arthrosis, lower limb radiculalgia, operated of spinal canal stenosis in 1995 and intermittent pain in the iliac fossa 5 years.
Physical examination was normal, as well as chest X-ray, ECG and basic general laboratory tests.
Axillary temperature of 36.6 °C.
1.
Surgery was indicated with the diagnosis of splenic artery aneurysm.
Surgery was performed on 19 March 2002.
A transverse laparotomy and section of the gastrosplenic ligament and ileo-alcoholic ligament were performed, easily locating an aneurysm of 2.5 x 2.5 cm in the practical splenic artery attached.
The spleen was surgically released and the frenu-splenic ligaments, nephro-renal adhesion, short vessels and short vessels were dissected.
Splenic artery and vein were isolated and resection was performed.
She also underwent hysterectomy due to a history of right iliac fossa pain.
The patient tolerated the procedure well and was discharged in good condition 8 days after surgery.
The specimen extracted was sent to Pathological Anatomy, with a diagnosis of splenic artery aneurysm of 2.5x2.5 cm, calcified walls and mural thrombus of atherosclerotic etiology.
The spleen and appendix were normal.
At 3 years and 2 months after surgery the patient is in good general condition.
Abdominal ultrasound is normal and there are no data on visceral or other aneurysms.
