title: Splenic artery aneurysm.
abstract: Splenic artery aneurysms - the most common visceral artery aneurysms - are found most often in multiparous women and in patients with portal hypertension. Indications for treatment of splenic artery aneurysm or pseudoaneurysm include specific symptoms, female gender and childbearing age, presence of portal hypertension, planned liver transplantation, a pseudoaneurysm of any size, and an aneurysm with a diameter of more than 2.5cm. Historically, the treatment of splenic artery aneurysm has been surgical ligation of the splenic artery, ligation of the aneurysm, or aneurysmectomy with or without splenectomy, depending on the aneurysm location. There are other percutaneous interventional techniques. The authors present a case of a splenic artery aneurysm in a 51-year-old woman, detected incidentally. RESUMO Aneurismas da artéria esplênica - os aneurismas arteriais viscerais mais comuns - são encontrados mais frequentemente em mulheres multíparas e em pacientes com hipertensão portal. As indicações para o seu tratamento incluem sintomas específicos, sexo feminino e idade fértil, presença de hipertensão portal, paciente em fila de transplante hepático, um pseudoaneurisma de qualquer tamanho, e um aneurisma com um diâmetro superior a 2,5cm. Historicamente, o tratamento do aneurisma da artéria esplênica tem sido a ligadura cirúrgica da artéria esplênica, a ligadura do aneurisma ou a aneurismectomia, com ou sem esplenectomia, dependendo do local do aneurisma. Existem outras técnicas intervencionistas percutâneas. Os autores apresentam o caso de um aneurisma de artéria esplênica em uma mulher de 51 anos de idade, diagnosticado incidentalmente.
authors.affiliation: Department of General and Specialized Surgery, Antônio Pedro University Hospital (HUAP), Niteroi, RJ, Brazil.
authors.forename: Rui Antônio Ferreira
authors.initials: RA
authors.lastname: Tcbc-Rj
authors.affiliation: Department of Clinical Medicine, Antonio Pedro University Hospital (HUAP), Niteroi, RJ, Brazil.
authors.forename: Myriam Christina Lopes
authors.initials: MC
authors.lastname: Ferreira
authors.affiliation: State Employees Federal Hospital (HSE), Rio de Janeiro, RJ, Brazil.
authors.forename: Daniel Antônio Lopes
authors.initials: DA
authors.lastname: Ferreira
authors.affiliation: Medical School, Fluminense Federal University (UFF), Niteroi, RJ, Brazil.
authors.forename: André Gustavo Lopes
authors.initials: AG
authors.lastname: Ferreira
authors.affiliation: Medical School, Fluminense Federal University (UFF), Niteroi, RJ, Brazil.
authors.forename: Flávia Oliveira
authors.initials: FO
authors.lastname: Ramos
mesh_terms: D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D013157:Splenic Artery