Laparoscopic resection of splenic artery aneurysm; a case report.
We report a case of a patient who underwent three-dimensional arterial computed tomography, color Doppler sonography and laparoscopic splenectomy for splenic artery aneurysm. Helical computed tomography revealed a splenic artery aneurysm, 3.0 x 1.8 cm in diameter. Color Doppler sonography reveals a weak pulsatile flow from the aneurysm. Surgical treatment is indicated for such cases since approximately 10% of these aneurysms tend to rupture which thus results in fatal hemorrhaging. As a result, a laparoscopic splenectomy was performed. According to our experience, three-dimensional computed tomography and color Doppler sonography can be performed for the arterial and venous information with less invasion than angiography and a laparoscopic splenectomy for splenic aneurysm can be performed which is safer and less invasive than conventional open procedure.
Suzuki
Hideki
H
First Department of Surgery, Gunma University School of Medicine, 3-39-22, Showamachi 371, Japan. hidesu@med.gunma-u.ac.jp
Shimura
Tatsuo
T
Asao
Takayuki
T
Nomoto
Kenichi
K
Kanoh
Kenichi
K
Tuboi
Kaori
K
Wada
Satoru
S
Kuwano
Hiroyuki
H
D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013157:Splenic Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color