title: Geriatric assessment of a giant splenic artery aneurysm accidentally diagnosed.
abstract: Giant splenic artery aneurysms (GSAAs) larger than 8 cm in diameter have rarely been reported, particularly in older people. They are clinically important lesions, often asymptomatic and related to an increased risk of complications such as abrupt rupture, requiring emergency surgical treatment. Comprehensive geriatric assessment (CGA), originally developed for multidimensional clinical evaluation in several geriatric settings, was recently proposed as a fundamental preoperative aid for treatment planning of older patients undergoing elective surgery and preventing adverse post-operative outcomes. We present the first case of an asymptomatic 9-cm partially thrombosed GSAA, accidentally diagnosed during abdominal ultrasound in a 63-year-old woman from the Apulia region in Southern Italy. She successfully underwent aneurysmectomy, highlighting the usefulness of CGA in elective surgical patients.
authors.affiliation: Geriatric Unit, Ospedale "Paradiso", Azienda Sanitaria Locale Bari, Gioia del Colle, Bari, 70023, Italy. giuseppeorsitto@katamail.com.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Orsitto
authors.forename: Francesco
authors.initials: F
authors.lastname: Fulvio
authors.forename: Antonio G
authors.initials: AG
authors.lastname: Pinto
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Turi
authors.forename: Domenico
authors.initials: D
authors.lastname: Tria
authors.forename: Amedeo
authors.initials: A
authors.lastname: Venezia
authors.forename: Clementina
authors.initials: C
authors.lastname: Colucci
authors.forename: Roberto
authors.initials: R
authors.lastname: Castellana
authors.forename: Cosimo
authors.initials: C
authors.lastname: Manca
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008875:Middle Aged; D013157:Splenic Artery / Q000000981:diagnostic imaging* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography