Segmental arterial mediolysis with 5 splenic artery aneurysms. A rare finding of a rare disease: Case report and literature review.
BACKGROUND
Splenic artery aneurysms (SAA) are uncommon findings. They are usually single and isolated; however they can be multiple; hence vasculopathy and segmental artery mediolysis may be considered.


METHODS
In our manuscript we present a case of a 54year old multiparous lady who was discovered incidentally to have a diseased splenic artery containing five SSAs. The largest aneurysm was close to the takeoff of the vessel and the smallest was distal embedded in the splenic hilum. Endovascular option was technically not feasible. Therefore the patient underwent a complete splenic artery resection with splenectomy and the histopathologic examination was suggestive of segmental arterial mediolysis (SAM).


CONCLUSIONS
Multiple SAAs remains a rare finding of a rare disease. Complications can be crucial and high index of suspicion is important. Segmental arterial mediolysis can be considered in patients with several aneurysms on one anatomic site; Angiography is the gold standard diagnostic and therapeutic method. Complete splenic artery resection with splenectomy is the best treatment option for solitary vessel involvement.
Hepatobiliary and Transplant Unit, Department of Surgery, Amiri Hospital, Kuwait. Electronic address: dr.termos.termos@hotmail.com.
Salah
S
Termos
Hepatobiliary and Transplant Unit, Department of Surgery, Amiri Hospital, Kuwait.
Ali
A
Taqi
Hepatobiliary and Transplant Unit, Department of Surgery, Amiri Hospital, Kuwait.
Hussein
H
Hayati
Hepatobiliary and Transplant Unit, Department of Surgery, Amiri Hospital, Kuwait.
Ameera J M S
AJMS
Alhasan
Hepatobiliary and Transplant Unit, Department of Surgery, Amiri Hospital, Kuwait.
Mohammad
M
Alali
Department of Pathology, Amiri Hospital, Kuwait.
Ayman
A
Adi
Case report; Segmental arterial mediolysis (SAM); Splenic artery aneurysm (SAA); Splenic artery resection