title: [Multiple aneurysms splenic; surgical exclusion with conservation of the spleen].
abstract: BACKGROUND
  Aneurysm of the splenic artery is diagnosed when the diameter of the splenic artery is greater than 1cm. It occupies third place among abdominal aneurysms. It is more frequent in women (4:1). It is associated with trauma, haemodynamics and local hormonal effects during pregnancy, portal hypertension (including the Caroli syndrome), arterial degeneration, atherosclerosis, and liver transplantation. It is difficult to diagnose, and it generally presents as ruptured, thus once the diagnosis is made, the surgical approach is indicated due to its high mortality.
  
  
  METHODS
  Female of 66 years of age with a diagnosis of splenic artery aneurysm, with pulsing sensation at epigastric level of 8 months onset. On physical examination there is a palpable throbbing mass of 9 cm of diameter approximately, for which she was admitted. The computed tomography angiography with reconstruction showed three splenic aneurysms. Two were tied and the larger one was repaired by endo-aneurysmorrhaphy.
  
  
  CONCLUSIONS
  Visceral aneurysms are extremely rare. They are currently increasing and are the third leading cause of cardiovascular death, as morbidity/mortality is high. The surgical treatment must be done selectively according to their size. Selection of the surgical techniques depends on the anatomic location and the need for revascularisation, the aetiology and the experience of the surgeon.
  
  
  CONCLUSIONS
  A review has been presented on the advances in diagnostic, and management, concluding that the best is to preserve the spleen, and whatever the technique it must be performed by trained surgeons.
authors.affiliation: Servicio de Angiología, Hospital de Especialidades, Centro Médico Nacional La Raza, La Raza, D.F., México. Electronic address: dr_bizueto_h@yahoo.com.
authors.forename: Héctor
authors.initials: H
authors.lastname: Bizueto-Rosas
authors.affiliation: Servicio de Angiología, Hospital de Especialidades, Centro Médico Nacional La Raza, La Raza, D.F., México.
authors.forename: José Ángel
authors.initials: JÁ
authors.lastname: Barajas-Colón
authors.affiliation: Servicio de Angiología, Hospital de Tecamac, Instituto Mexicano del Seguro Social, La Raza, D.F., México.
authors.forename: Ivan
authors.initials: I
authors.lastname: Delgadillo-de la O
authors.affiliation: Servicio de Angiología, Hospital de Especialidades, Centro Médico Nacional La Raza, La Raza, D.F., México.
authors.forename: Nahieli Patricia
authors.initials: NP
authors.lastname: Malo-Martínez
authors.affiliation: Servicio de Angiología, Hospital de Especialidades, Centro Médico Nacional La Raza, La Raza, D.F., México.
authors.forename: Hugo Alonso
authors.initials: HA
authors.lastname: Pérez-González
authors.affiliation: Servicio de Medicina Familiar y Laboral, Unidad de Medicina Familiar y Hospital General de Zona Número 29, Instituto Mexicano del Seguro Social, D.F., México.
authors.forename: Noemí Antonia
authors.initials: NA
authors.lastname: Hernández-Pérez
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D063125:Balloon Embolectomy; D005260:Female; D006801:Humans; D008026:Ligation; D059351:Organ Sparing Treatments / Q000379:methods*; D013152:Splanchnic Circulation; D013154:Spleen / Q000098:blood supply / Q000601:surgery*; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Aneurisma; Aneurysm; Arteria esplénica; Bazo; Conservación; Conservation; Resección quirúrgica; Spleen; Splenic artery; Surgical resection