title: Splenic infarction complicating ligation of a gastroduodenal artery aneurysm.
abstract: BACKGROUND
  Aneurysms of visceral arteries are rare, but may lead to dramatic situations of intraabdominal or retroperitoneal hemorrhage in case of rupture.
  
  
  METHODS
  We report the case of a 72-year-old patient who developed a hemorrhagic shock following a total hip replacement due to the rupture of an aneurysm of the gastroduodenal artery. Angiography also demonstrated a high-grade stenosis of the celiac trunk. The ruptured aneurysm was ligated as a live-saving procedure, but due to the stenosis in the celiac trunk the patient developed a splenic infarction followed by partial tissue liquefication. This was treated conservatively and after 3 months, the computed tomography showed an atrophic residual spleen.
  
  
  CONCLUSIONS
  Diagnostic and therapeutic approaches to visceral vascular aneurysms are discussed including the potential complications of splenic infarction.
authors.affiliation: Department of Surgery, Kantonsspital Schaffhausen (Head: Dr. W. Schweizer), Switzerland.
authors.forename: W
authors.initials: W
authors.lastname: Schweizer
authors.forename: N C
authors.initials: NC
authors.lastname: Gries
authors.forename: G
authors.initials: G
authors.lastname: Maddern
authors.forename: J
authors.initials: J
authors.lastname: Triller
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000601:surgery*; D004386:Duodenum / Q000098:blood supply; D006801:Humans; D008026:Ligation; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D013159:Splenic Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D013270:Stomach / Q000098:blood supply