title: [Splenic aneurism associated with a hilar arteriovenous fistula].
abstract: Splenic aneurisms are the most frequent visceral aneurisms. These aneurisms are usually asymptomatic and are diagnosed incidentally by imaging studies performed for other diseases. The clinical importance of these entities lies in the possibility of rupture, leading to high mortality. Most aneurisms are single and small-sized. The presence of an associated hilar or intrasplenic arteriovenous fistula is exceptional and is usually related to trauma, prior surgery, or infections; a congenital origin may also be involved. We present a case of intrasplenic aneurism associated with a hilar arteriovenous fistula, which was satisfactorily treated through the laparoscopic approach.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Clínica Rúber, Madrid, España. aliciaruiz9@hotmail.com
authors.forename: Alicia
authors.initials: A
authors.lastname: Ruiz de la Hermosa
authors.forename: Jaime
authors.initials: J
authors.lastname: Zorrilla Ortúzar
authors.forename: Marcos
authors.initials: M
authors.lastname: Rodríguez-Martín
authors.forename: José Luis
authors.initials: JL
authors.lastname: Escat Cortés
authors.forename: Alberto
authors.initials: A
authors.lastname: Muñoz-Calero Peregrín
mesh_terms: D000783:Aneurysm / Q000150:complications*; D001164:Arteriovenous Fistula / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013154:Spleen / Q000098:blood supply*; D013157:Splenic Artery; D013162:Splenic Vein