title: Surgical treatment of a double splenic artery aneurysm.
abstract: Splenic artery aneurysms account for the majority of splanchnic artery aneurysms. These constitute a uncommon pathology, but with a mortality rate greater 70%. We report a case of a double symptomatic aneurysm of the splenic artery with a proximal and distal localization. The patient was a 65-year-old woman with chronic abdominal pain of the left hypochondrium, irradiating to the ipsilateral iliac fossa. In this case, the particular anatomical characteristics, which prevented a conservative endovascular treatment, were well suited to surgical treatment, performed successfully. In conclusion, in the case of a low-risk patient, in the presence of aneurysms with favourable anatomical characteristics one should prefer surgical rather than endovascular treatment, despite the widespread use of the latter.
authors.affiliation: Department of Digestive Surgery, CH Toulon-La Seyne, France.
authors.forename: Emanuele
authors.initials: E
authors.lastname: D'Errico
authors.forename: Roberto
authors.initials: R
authors.lastname: Gulino
authors.forename: Davide
authors.initials: D
authors.lastname: Mazza
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D013157:Splenic Artery / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods