Diagnostics and treatment of large splenic artery aneurysms illustrated by two clinical cases presentation

Zharskiy S.L.

Federal State Budgetary Educational Institution of Higher Education «Far-East State Medical University» of the Ministry of Healthcare of the Russian Federation

Rudman V.Ya.

Peoples' Friendship University of Russia, Moscow;
Regional Hospital №2, Ministry of Health of the Khabarovsk Territory, Khabarovsk

Valchenko S.M.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Revotas A.A.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Kagramanyan V.V.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Polyakov A.G.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Bogatkov S.D.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Rabinovich E.L.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Diagnostics and treatment of large splenic artery aneurysms illustrated by two clinical cases presentation

Authors:

Zharskiy S.L., Rudman V.Ya., Valchenko S.M., Revotas A.A., Kagramanyan V.V., Polyakov A.G., Bogatkov S.D., Rabinovich E.L.

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Journal: Pirogov Russian Journal of Surgery. 2018;(12): 116‑121

DOI: 10.17116/hirurgia2018121116

Downloaded: 82

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To cite this article:

Zharskiy SL, Rudman VYa, Valchenko SM, et al. . Diagnostics and treatment of large splenic artery aneurysms illustrated by two clinical cases presentation. Pirogov Russian Journal of Surgery. 2018;(12):116‑121. (In Russ.)
https://doi.org/10.17116/hirurgia2018121116

Подписка 2025 (Pirogov Russian Journal of Surgery)

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The authors analyze the clinical course of large splenic artery aneurysms (SAA) accidentally identified in two patients. In the first case 4.5×4.0 sm aneurysm was circumstantially discovered while providing the multispiral computer coronary angiography, and it was interpreted as a pancreatic gland cyst. Four years later on the next spiral computer tomography (SCT) provided also under another prescription ASA was found by means of contrast intensifying, and it had reached the size of 5.1×6.3×6.2 sm. In the second patient suffering from hepatic cirrhosis and hospitalized because of esophagogastric bleeding the deforming posterior ventricle wall lump was discovered during the laparotomy and stomach operating exploration. By providing the lump needle punction arterial blood was observed. During the upcoming SCT with contrast intensifying this lump was verified as a saccular SAA sized 7.8×5.7 sm. In both cases the endovascular proximal splenic artery embolization was successfully applied as the treatment.

Keywords:

splenic artery

aneurysm

endovascular embolization

Authors:

Zharskiy S.L.

Federal State Budgetary Educational Institution of Higher Education «Far-East State Medical University» of the Ministry of Healthcare of the Russian Federation

Rudman V.Ya.

Peoples' Friendship University of Russia, Moscow;
Regional Hospital №2, Ministry of Health of the Khabarovsk Territory, Khabarovsk

Valchenko S.M.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Revotas A.A.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Kagramanyan V.V.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Polyakov A.G.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Bogatkov S.D.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

Rabinovich E.L.

Territorial State Budgetary Institution of Healthcare «Clinical Hospital №2», of the Ministry of Healthcare of the Khabarovsk Territory

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