title: Huge splenic artery aneurysm after portocaval shunt.
abstract: A 64-year-old man with cirrhosis of the liver had a palpable, pulsatile palm-size mass over the upper abdomen. Splenic artery aneurysm was diagnosed by sonography, computed tomography scan, and celiac angiography. Operative findings showed a huge splenic artery aneurysm (20 X 30 X 20 cm) over the middle portion of the splenic artery. Such a huge splenic artery aneurysm may develop because changes in splenic circulatory dynamics after a portocaval shunt, resulting in compression of the splenic vein and congestive splenomegaly.
authors.affiliation: Division of Gastroenterology, Veterans General Hospital, Taipei, Taiwan, Republic of China.
authors.forename: T N
authors.initials: TN
authors.lastname: Tam
authors.forename: K H
authors.initials: KH
authors.lastname: Lai
authors.forename: Y T
authors.initials: YT
authors.lastname: Tsai
authors.forename: S D
authors.initials: SD
authors.lastname: Lee
authors.forename: C S
authors.initials: CS
authors.lastname: Lay
authors.forename: W W
authors.initials: WW
authors.lastname: Ng
authors.forename: G H
authors.initials: GH
authors.lastname: Lo
authors.forename: H J
authors.initials: HJ
authors.lastname: Lin
authors.forename: F Y
authors.initials: FY
authors.lastname: Lee
authors.forename: T J
authors.initials: TJ
authors.lastname: Yu
mesh_terms: D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011167:Portacaval Shunt, Surgical; D011183:Postoperative Complications / Q000209:etiology*; D013157:Splenic Artery; D013997:Time Factors