How to provide vascular control of splenic artery aneurysms? A case series

Ann Med Surg (Lond). 2020 Sep 2:58:95-98. doi: 10.1016/j.amsu.2020.08.035. eCollection 2020 Oct.

Abstract

Background: Spleen artery aneurysm represents the most common visceral aneurysm and the third most common splanchnic aneurysm. Most patients have no symptoms and are diagnosed as a part of other diagnostic focuses and examinations. Greater prevalence and application of modern diagnostic and imaging procedures has resulted in greater detection of this disease.

Results: We present two patients with splenic artery aneurysms localized in the splenic hilum, who auspiciously underwent laparoscopic splenectomies with the use of hem-o-lock clips in the vascular hilum without complications. Both postoperative courses were uneventful. At six months follow up, both patients are asymptomatic.

Conclusion: These two cases showed that in addition to the numerous advantages of minimally invasive approaches for treating splenic arterial aneurysms, there is a possibility to improve laparoscopic technique in terms of safety and economic reasons by using hem - o - lock clips as a hemostatic technique for the vascular elements of the spleen hilum.

Keywords: Aneurysm; Case report; Laparoscopic splenectomy; Spleen; Splenic artery.