TY - JOUR
T1 - Splenic artery aneurysms encountered in the ED
T2 - 10 years' experience
AU - Liu, Chu Feng
AU - Kung, Chia Te
AU - Liu, Ber Ming
AU - Ng, Shu Hang
AU - Huang, Chung Cheng
AU - Ko, Sheung Fat
PY - 2007/5
Y1 - 2007/5
N2 - Objective: Our objective was to report 7 cases of splenic artery aneurysm (SAA) encountered in the emergency department (ED). Methods: A retrospective survey of our ED database revealed 7 cases of SAA (6 men, 1 woman; mean age, 56 years) of 651 347 ED visits over the last decade. Their clinical and imaging features, management, and outcomes were evaluated. Results: Splenic artery aneurysm in the ED was rare (prevalence, 0.011%). Common presentations included acute abdomen (n = 5) and shock (n = 2). Five cases had liver cirrhosis and portal hypertension. Abdominal radiographs (n = 7) revealed 2 atherosclerotic patients with SAA. Abdominal computed tomography (n = 7) depicted all SAAs (size, 1.5-8 cm; mean, 3.8 cm). Four ruptured SAAs were successfully managed with coils embolization. Among them, 1 patient with ruptured mycotic SAA also received surgery, but the patient died of Klebsiella sepsis 3 months later. Conclusions: In the ED, ruptured SAA should be included as a rare differential consideration of acute abdomen, especially in middle-aged men with liver cirrhosis and portal hypertension. Although SAA may be an unexpected computed tomographic finding, once diagnosed, endovascular treatment is recommended.
AB - Objective: Our objective was to report 7 cases of splenic artery aneurysm (SAA) encountered in the emergency department (ED). Methods: A retrospective survey of our ED database revealed 7 cases of SAA (6 men, 1 woman; mean age, 56 years) of 651 347 ED visits over the last decade. Their clinical and imaging features, management, and outcomes were evaluated. Results: Splenic artery aneurysm in the ED was rare (prevalence, 0.011%). Common presentations included acute abdomen (n = 5) and shock (n = 2). Five cases had liver cirrhosis and portal hypertension. Abdominal radiographs (n = 7) revealed 2 atherosclerotic patients with SAA. Abdominal computed tomography (n = 7) depicted all SAAs (size, 1.5-8 cm; mean, 3.8 cm). Four ruptured SAAs were successfully managed with coils embolization. Among them, 1 patient with ruptured mycotic SAA also received surgery, but the patient died of Klebsiella sepsis 3 months later. Conclusions: In the ED, ruptured SAA should be included as a rare differential consideration of acute abdomen, especially in middle-aged men with liver cirrhosis and portal hypertension. Although SAA may be an unexpected computed tomographic finding, once diagnosed, endovascular treatment is recommended.
UR - http://www.scopus.com/inward/record.url?scp=34248168163&partnerID=8YFLogxK
U2 - 10.1016/j.ajem.2006.08.017
DO - 10.1016/j.ajem.2006.08.017
M3 - 文章
C2 - 17499662
AN - SCOPUS:34248168163
SN - 0735-6757
VL - 25
SP - 430
EP - 436
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
IS - 4
ER -