A case of splenic artery aneurysm rupture complicated by liver cirrhosis.
- Author:
Ki Seop LEE
1
;
Hyung Gil KIM
;
Young Su KIM
Author Information
1. Department of Internal Medicine, Inchon Christian Hospital, Inchon, Korea.
- Publication Type:Case Report
- Keywords:
Aneurysm;
Ruptured;
Splenic artery;
Liver cirrhosis
- MeSH:
Adult;
Aneurysm*;
Female;
Humans;
Hypertension, Portal;
Liver Cirrhosis*;
Liver*;
Mortality;
Rupture*;
Rupture, Spontaneous;
Splenectomy;
Splenic Artery*
- From:Korean Journal of Medicine
2001;61(3):302-306
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Splenic artery aneurysms, no longer considered rare, occur in 10% of patients with liver cirrhosis and portal hypertension. But, spontaneous rupture of splenic artery aneurysm is a rare condition. Due to a fatal rupture, they are considered dangerous. Rupture is often the first and only symptom. With an increased index of suspicion and early aggressive treatment of asymptomatic splenic artery aneurysms, mortality has drastically decreased. We experienced a case of splenic artery aneurysm rupture associated with liver cirrhosis. A 40-year-old female patient was admitted due to left upper quadrant pain. The patient was diagnosed as splenic artery aneurysm rupture with liver cirrhosis by celiac arteriogram and computed tomography. The patient was treated with splenic artery embolization and splenectomy, but the patient died. In this paper, the case of splenic artery aneurysm rupture associated with liver cirrhosis is reported with review of relevant literatures.