ANEURYSM OF SPLENIC ARTERY. INCIDENCE, CLINIC, DIAGNOSIS, TREATMENT. REVIEW AND CASES FROM PRACTICE

Abstract

Aneurysms of splenic artery are the most common visceral aneurysms. There are true aneurysms and pseudoaneurysms. True aneurysms develop against the background of artery wall weakness. Pseudoaneurysms result from a rupture of the intima of the vessel wall with subsequent dissection of blood into a false lumen and formation of a periarterial hematoma. They are detected as an incidental finding without any clinical manifestation. The aim of this article is to present two clinical cases of a ruptured aneurysm of the splenic artery in our practice. The mortality rate after rupture of the splenic artery aneurysm varies from 25% to 40%. Under emergency conditions, the time for diagnosis is scarce and limited by the hemodynamic status of the patient. With increasing the possibilities of diagnostic imaging, the chances for minimally invasive treatment of incidentally detected pseudoaneurysms of the splenic artery improve. The conditions for successful management of this pathology include organization of emergency surgical care and collaboration between surgical teams.