복통, 복수 및 토혈을 동반한 거대 비장동맥류

• Published in: Annals of surgical treatment and research Vol. 68; no. 4; pp. 346 - 349
• Main Authors: 배병노(Byung Noe Bae), 김홍용(Hong Yong Kim), 신원창(Won Chang Shin)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.04.2005
• Subjects: 일반외과학; Splenic artery aneurysm; Upper gastrointestinal bleeding; 비장동맥류; 복수; 복통; Abdominal pain; 상부위장관 출혈; Ascites
• ISSN: 2288-6575; 2288-6796

Splenic artery aneurysm (SAA) is an uncommon clinical entity. However, it is the most frequent aneurysmal disease of visceral arteries and the third most frequent among abdominal vessels. The cause of the disease and indications for surgical treatment are still controversial. In most cases, SAAs are detected as incidental findings. Their importance lies in potentially fatal consequence due to their rupture. SAAs occur predominantly in women and a majority of the patients with anuerysm are asymptomatic until rupture. Over the half of those, rupture occurs during pregnancy or in women who have had children. Rupture during pregnancy is associated with a very high maternal and fetal mortality rate. We experienced a case of 75-year-old female patient with large splenic artery aneurysm accompanying abdominal pain, ascites, and upper gastrointestinal bleeding. After this patient have had total splenectomy and aneurysmectomy, previous symptoms disappeared. KCI Citation Count: 0