Splenic artery aneurysm - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:58:52Z

Prepared the page for translation

← Revisión anterior		Revisión del 23:58 4 ene 2026
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	==Background==		==Background==

	*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm (after aorta and iliac vessels)		*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm (after aorta and iliac vessels)
	*Etiologies include arterial fibrodysplasia, portal hypertension, and increased splenic AV shunting in pregnancy		*Etiologies include arterial fibrodysplasia, portal hypertension, and increased splenic AV shunting in pregnancy
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	**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.		**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.
	**High maternal and fetal mortality post-rupture		**High maternal and fetal mortality post-rupture


	==Clinical Features==		==Clinical Features==
	*Typically asymptomatic or vague with [[left upper quadrant pain]] with radiation to the left shoulder or subscapular area (most are incidental CT finding)
			*Typically asymptomatic or vague with [[Special:MyLanguage/left upper quadrant pain\|left upper quadrant pain]] with radiation to the left shoulder or subscapular area (most are incidental CT finding)
	*May have epigastric/abdominal pain and/or hemodynamic instability if ruptured		*May have epigastric/abdominal pain and/or hemodynamic instability if ruptured


	==Differential Diagnosis==		==Differential Diagnosis==

	*Calcified left adrenal haematoma		*Calcified left adrenal haematoma
	*Other causes of hemoperitoneum if ruptured		*Other causes of hemoperitoneum if ruptured
	**Ruptured [[ectopic pregnancy]]		**Ruptured [[Special:MyLanguage/ectopic pregnancy\|ectopic pregnancy]]


	==Evaluation==		==Evaluation==

	*CTA Abdomen/Pelvis is the gold standard<ref>Casadei R. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes? JOP 2007;8:235–9</ref>		*CTA Abdomen/Pelvis is the gold standard<ref>Casadei R. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes? JOP 2007;8:235–9</ref>
	*Initial [[FAST exam]] may show fluid in left upper quadrant if ruptured aneurysm		*Initial [[Special:MyLanguage/FAST exam\|FAST exam]] may show fluid in left upper quadrant if ruptured aneurysm


	==Management==		==Management==

	*Surgery and/or IR consult		*Surgery and/or IR consult
	*Ruptured aneurysm requires emergent laparotomy or endovascular intervention		*Ruptured aneurysm requires emergent laparotomy or endovascular intervention


	==Disposition==		==Disposition==

	*Discharge:		*Discharge:
	**Aneurysm size <2cm, asymptomatic, and hemodynamically stable		**Aneurysm size <2cm, asymptomatic, and hemodynamically stable
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	*Aneurysm of any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with α-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age (requires consultation with a vascular surgeon for ligation or embolization)		*Aneurysm of any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with α-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age (requires consultation with a vascular surgeon for ligation or embolization)
	*Aneurysm size >2cm (Requires consult with a vascular surgeon for ligation or embolization)<ref>Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.</ref>		*Aneurysm size >2cm (Requires consult with a vascular surgeon for ligation or embolization)<ref>Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.</ref>


	==See Also==		==See Also==
	*[[Abdominal aortic aneurysm]]
			*[[Special:MyLanguage/Abdominal aortic aneurysm\|Abdominal aortic aneurysm]]


	==External Links==		==External Links==


	==References==		==References==

	<references/>		<references/>

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	[[Category:GI]]		[[Category:GI]]
	[[Category:Surgery]]		[[Category:Surgery]]
			</translate>

ClaireLewis at 00:16, 30 September 2019

2019-09-30T00:16:07Z

← Revisión anterior		Revisión del 00:16 30 sep 2019
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	*Increase risk of rupture in pregnancy (most commonly in 3rd trimester). <ref>Parrish J, Maxwell C, Beecroft J. Splenic Artery Aneurysm in Pregnancy. JOGC. 2015; 37(9):816–818.</ref>		*Increase risk of rupture in pregnancy (most commonly in 3rd trimester). <ref>Parrish J, Maxwell C, Beecroft J. Splenic Artery Aneurysm in Pregnancy. JOGC. 2015; 37(9):816–818.</ref>
	**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.		**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.
	**High maternal and fetal mortality post-~~ruputre~~		**High maternal and fetal mortality post-rupture

	==Clinical Features==		==Clinical Features==
	*Typically asymptomatic or vague with left upper quadrant pain with radiation to the left shoulder or subscapular area (most are incidental CT finding)		*Typically asymptomatic or vague with [[left upper quadrant pain]] with radiation to the left shoulder or subscapular area (most are incidental CT finding)
	*May have epigastric/abdominal pain and/or hemodynamic instability if ruptured		*May have epigastric/abdominal pain and/or hemodynamic instability if ruptured

	==Differential Diagnosis==		==Differential Diagnosis==
	*Calcified left adrenal haematoma		*Calcified left adrenal haematoma
	*Other causes of ~~hemoparitoneum~~ if ruptured		*Other causes of hemoperitoneum if ruptured
	**Ruptured ectopic pregnancy		**Ruptured [[ectopic pregnancy]]

	==Evaluation==		==Evaluation==
	*CTA Abdomen/~~Plevis~~ is the gold standard<ref>Casadei R. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes? JOP 2007;8:235–9</ref>		*CTA Abdomen/Pelvis is the gold standard<ref>Casadei R. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes? JOP 2007;8:235–9</ref>
	*Initial [[FAST exam]] may show fluid in left upper quadrant if ruptured aneurysm		*Initial [[FAST exam]] may show fluid in left upper quadrant if ruptured aneurysm

PoppyCat: /* Background */

2019-01-21T01:36:43Z

Background

← Revisión anterior		Revisión del 01:36 21 ene 2019
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	*Incidence on CT = 0.8%<ref name="khosa">Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref>		*Incidence on CT = 0.8%<ref name="khosa">Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref>
	*Female:Male 4:1		*Female:Male 4:1
			*2% result in life-threatening rupture
	*Increase risk of rupture in pregnancy (most commonly in 3rd trimester). <ref>Parrish J, Maxwell C, Beecroft J. Splenic Artery Aneurysm in Pregnancy. JOGC. 2015; 37(9):816–818.</ref>		*Increase risk of rupture in pregnancy (most commonly in 3rd trimester). <ref>Parrish J, Maxwell C, Beecroft J. Splenic Artery Aneurysm in Pregnancy. JOGC. 2015; 37(9):816–818.</ref>
	**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.		**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.

PoppyCat: /* Clinical Features */

2019-01-21T01:35:57Z

Clinical Features

← Revisión anterior		Revisión del 01:35 21 ene 2019
Línea 9:		Línea 9:

	==Clinical Features==		==Clinical Features==
	*Typically asymptomatic (most are incidental CT finding)		*Typically asymptomatic or vague with left upper quadrant pain with radiation to the left shoulder or subscapular area (most are incidental CT finding)
	*May have epigastric/abdominal pain and/or hemodynamic instability if ruptured		*May have epigastric/abdominal pain and/or hemodynamic instability if ruptured

PoppyCat: /* Background */

2019-01-21T01:35:19Z

Background

← Revisión anterior		Revisión del 01:35 21 ene 2019
Línea 1:		Línea 1:
	==Background==		==Background==
	*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm (after aorta and iliac vessels)		*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm (after aorta and iliac vessels)
			*Etiologies include arterial fibrodysplasia, portal hypertension, and increased splenic AV shunting in pregnancy
	*Incidence on CT = 0.8%<ref name="khosa">Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref>		*Incidence on CT = 0.8%<ref name="khosa">Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref>
	*Female:Male 4:1		*Female:Male 4:1

Mholtz at 14:03, 3 February 2017

2017-02-03T14:03:21Z

← Revisión anterior		Revisión del 14:03 3 feb 2017
Línea 1:		Línea 1:
	==Background==		==Background==
	*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm after ~~the~~ aorta and iliac vessels		*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm (after aorta and iliac vessels)
	*~~The incidence of splenic artery aneurysms~~ on CT is 0.8%<ref name="khosa">Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref>		*Incidence on CT = 0.8%<ref name="khosa">Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref>
	*Female:Male 4:1		*Female:Male 4:1

	~~==Clinical Features==~~
	*Typically asymptomatic as most are incidental findings on CT
	*Can cause epigastric/abdominal pain and hemodynamic instability if ruptured
	*Increase risk of rupture in pregnancy (most commonly in 3rd trimester). <ref>Parrish J, Maxwell C, Beecroft J. Splenic Artery Aneurysm in Pregnancy. JOGC. 2015; 37(9):816–818.</ref>		*Increase risk of rupture in pregnancy (most commonly in 3rd trimester). <ref>Parrish J, Maxwell C, Beecroft J. Splenic Artery Aneurysm in Pregnancy. JOGC. 2015; 37(9):816–818.</ref>
	**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.		**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.
	**High maternal and fetal mortality post-ruputre		**High maternal and fetal mortality post-ruputre

			==Clinical Features==
			*Typically asymptomatic (most are incidental CT finding)
			*May have epigastric/abdominal pain and/or hemodynamic instability if ruptured

	==Differential Diagnosis==		==Differential Diagnosis==
Línea 17:		Línea 17:

	==Evaluation==		==Evaluation==
			*CTA Abdomen/Plevis is the gold standard<ref>Casadei R. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes? JOP 2007;8:235–9</ref>
	*Initial [[FAST exam]] may show fluid in left upper quadrant if ruptured aneurysm		*Initial [[FAST exam]] may show fluid in left upper quadrant if ruptured aneurysm
	*CTA Abdomen/Plevis is the gold standard<ref>Casadei R. et al. Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes? JOP 2007;8:235–9</ref>

	==Management==		==Management==
	*~~Emergent~~ laparotomy or endovascular ~~ablation for ruptured aneurysm~~		*Surgery and/or IR consult
			*Ruptured aneurysm requires emergent laparotomy or endovascular intervention

	==Disposition==		==Disposition==
	*~~Any~~ size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with α-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age requires consultation with a vascular surgeon for ligation or embolization		*Discharge:
	*~~Greater than~~ 2cm: Requires consult with a vascular surgeon for ligation or embolization<ref>Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.</ref>		**Aneurysm size <2cm, asymptomatic, and hemodynamically stable
	*Less than 2cm: Discharge with follow up with primary care provider or vascular surgeon for surveillance scans at six months and then every 1-2 years<ref>Abbas, Maher A. "Splenic Artery Aneurysms: Two Decades Experience at Mayo Clinic." Annals of Vascular Surgery 16.4 (2002): 442-49. </ref><ref name="khosa" />		**Follow-up with PCP and/or vascular surgery for surveillance scans at 6 months and then every 1-2 years.
			*Admit:
			*Aneurysm of any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with α-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age (requires consultation with a vascular surgeon for ligation or embolization)
			*Aneurysm size >2cm (Requires consult with a vascular surgeon for ligation or embolization)<ref>Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.</ref>

	==See Also==		==See Also==
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	<references/>		<references/>

	[[Category:Vascular]][[Category:GI]][[Category:Surgery]]		[[Category:Vascular]]
			[[Category:GI]]
			[[Category:Surgery]]

Alberina: /* Differential Diagnosis */

2017-01-31T18:32:46Z

Differential Diagnosis

← Revisión anterior		Revisión del 18:32 31 ene 2017
Línea 14:		Línea 14:
	*Calcified left adrenal haematoma		*Calcified left adrenal haematoma
	*Other causes of hemoparitoneum if ruptured		*Other causes of hemoparitoneum if ruptured
			**Ruptured ectopic pregnancy

	==Evaluation==		==Evaluation==

Alberina: /* Clinical Features */

2017-01-31T18:30:54Z

Clinical Features

← Revisión anterior		Revisión del 18:30 31 ene 2017
Línea 7:		Línea 7:
	*Typically asymptomatic as most are incidental findings on CT		*Typically asymptomatic as most are incidental findings on CT
	*Can cause epigastric/abdominal pain and hemodynamic instability if ruptured		*Can cause epigastric/abdominal pain and hemodynamic instability if ruptured
			*Increase risk of rupture in pregnancy (most commonly in 3rd trimester). <ref>Parrish J, Maxwell C, Beecroft J. Splenic Artery Aneurysm in Pregnancy. JOGC. 2015; 37(9):816–818.</ref>
			**Thought to be secondary to increase in estrogen, progesterone and relaxin causing aneurysmal dilatation.
			**High maternal and fetal mortality post-ruputre

	==Differential Diagnosis==		==Differential Diagnosis==

Alberina: /* Background */

2017-01-31T18:09:16Z

Background

← Revisión anterior		Revisión del 18:09 31 ene 2017
Línea 2:		Línea 2:
	*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm after the aorta and iliac vessels		*The most common visceral arterial aneurysm, and the third most common abdominal aneurysm after the aorta and iliac vessels
	*The incidence of splenic artery aneurysms on CT is 0.8%<ref name="khosa">Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref>		*The incidence of splenic artery aneurysms on CT is 0.8%<ref name="khosa">Khosa, Faisal, MD. "Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 2: White Paper of the ACR Incidental Findings Committee II on Vascular Findings." Journal of the American College of Radiology 10.10 (2013): 789-94.</ref>
			*Female:Male 4:1

	==Clinical Features==		==Clinical Features==
	*Typically asymptomatic as most are incidental findings on CT		*Typically asymptomatic as most are incidental findings on CT

ClaireLewis: /* Disposition */

2016-09-11T00:23:12Z

Disposition

← Revisión anterior		Revisión del 00:23 11 sep 2016
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	*Any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with α-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age requires consultation with a vascular surgeon for ligation or embolization		*Any size in symptomatic patients, cirrhotic patients undergoing liver transplant, patients with α-1 antitrypsin deficiency, and patients who are pregnant or of childbearing age requires consultation with a vascular surgeon for ligation or embolization
	*Greater than 2cm: Requires consult with a vascular surgeon for ligation or embolization<ref>Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.</ref>		*Greater than 2cm: Requires consult with a vascular surgeon for ligation or embolization<ref>Lakin, Ryan O., MD. "The Contemporary Management of Splenic Artery Aneurysms." Journal of Vascular Surgery 53.4 (2011): 1157.</ref>
	*Less than 2cm: Discharge with follow up with ~~PCP~~ or vascular surgeon for surveillance scans at six months and then every 1-2 years<ref>Abbas, Maher A. "Splenic Artery Aneurysms: Two Decades Experience at Mayo Clinic." Annals of Vascular Surgery 16.4 (2002): 442-49. </ref><ref name="khosa" />		*Less than 2cm: Discharge with follow up with primary care provider or vascular surgeon for surveillance scans at six months and then every 1-2 years<ref>Abbas, Maher A. "Splenic Artery Aneurysms: Two Decades Experience at Mayo Clinic." Annals of Vascular Surgery 16.4 (2002): 442-49. </ref><ref name="khosa" />

	==See Also==		==See Also==