Splenic artery aneurysm
The splenic artery is the commonest site of visceral arterial aneurysm formation as well as the 3rd commonest site of aneurysm formation in the abdomino-pelvic region (after the aorta and iliac vessels). Aneurysms are usually saccular in configuration. They can either be in the form of a
- splenic artery true aneurysm : (much more commoner) or
- splenic artery pseudoaneurysm :
Clinical presentation
More often they are detected incidentally on imaging for some other cause. Occasionally they can present acutely with a rupture 2.
Pathology
Associations
Complications
The overall risk of rupture is thought to be ~ 2 - 10%. However in an event of rupture there is a relatively high mortality rate of ~ 36% 4.
Treatment
Small aneurysms may be monitored. Coil embolisation is increasingly used to treat larger aneurysms.

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