Large splenic artery aneurysm

Case contributed by Dr Arthur Daire

Presentation

Referred with an epigastric mass and jaundice.. Suspected choledochal cyst. No significant past medical history

Patient Data

Age: 3 years old
Gender: Female

Large epigastric irregular cystic mass, predominantly left sided mass, with obvious swirling flow within.  With Doppler  the bidirectional flow  within the cystic mass was producing the well known yin-yang sign consistent with an aneurysm/ pseudoaneurysm

Case Discussion

This patient was scheduled for surgery the very next day. in the afternoon of the same day, the aneurysm ruptured and patient was resuscitated and taken to theater and  splenic artery aneurysm was confirmed and repaired.

The cause of the aneurysm is still unclear. There was no history of  pancreatitis or chronic disease/infection.  In the end, it was considered to be a congenital aneurysm. Congenital splenic aneursms are rare and they  usually present in elderly women. 

PlayAdd to Share

Case Information

rID: 25738
Case created: 5th Nov 2013
Last edited: 21st Oct 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.