Laparosc Endosc Surg Sci . 2019; 26(1): 24-27 | DOI: 10.14744/less.2019.58661

Laparoscopic treatment of symptomatic non-ruptured proximal and middle segment splenic artery aneurysm

Ender Anilir, Þenol Carýllý, Aydýn Alper
Istanbul American Hospital, General Surgery Clinics, Istanbul, Turkey

A splenic artery aneurysm is the third most frequent intraabdominal aneurysm, accounting for 60% of all visceral artery aneurysms. There is a rupture rate of 2% with an associated mortality rate of 36%. Treatment of splenic artery aneurysm may include laparotomy, laparoscopy, or endovascular techniques. Excellent results have been reported with laparoscopic techniques recently. Presently described is a case of symptomatic, non-ruptured proximal and middle segment splenic artery aneurysm treated with laparoscopic surgery. A 27-year-old female patient applied to the general surgery polyclinic complaining of abdominal pain and dyspepsia. After evaluating all of the clinical findings, a diagnosis of splenic artery aneurysm was made and a laparoscopic splenectomy and aneurysmectomy were performed. The patient was discharged on postoperative day 8. During the postoperative follow-up period, she recovered very well with no clinical problem.

Keywords: Splenic artery, aneurysm, non-rupture, laparoscopy

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Semptomatik non-rüptüre proksimal-middle splenik arter anevrizmasýnýn laparoskopik tedavisi

Ender Anilir, Þenol Carýllý, Aydýn Alper
Istanbul Amerikan Hastanesi, Genel Cerrahi Kliniði, Istanbul

Splenik arter anevrizmalarý tüm organ arterlerine ait anevrizmalar içinde %60 oranýnda görülen, 3. en sýk intraabdominal anevrizmadýr. rüptür oraný %2, buna baðlý mortalite oraný %36'dýr. Splenik arter anevrizmasý tedavisi laparotomi, laparoskopi ya da endovasküler teknikle yapýlabilmektedir. Son zamanlarda laparoskopik yönteme ait mükemmel sonuçlar görülmektedir. Laparoskopik tedavi edilen semptomatik non rüptüre proksimal middle splenik arter anevrizmasý olgusunu sunmayý amaçladýk. Yirmi yedi yaþýnda kadýn hasta karýn aðrýsý ve dispepsi yakýnmalarýyla polikliniðimize baþvurdu. Klinik deðerlendirme ve bulgular sonucunda splenik arter anevrizmasý tanýsýyla laparoskopik splenektomi ve anevrizma eksizyonu uyguladýk. Ameliyat sonrasý takip sürecinde klinik problem izlenmedi ve ameliyat sonrasý 8. günde taburcu edildi.

Anahtar Kelimeler: Splenik arter, anevrizma, nonrüptüre, laparoskopi

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