Journal of Surgery

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A Unique Presentation of Splenic Artery Aneurysm During Pregnancy

Received: 27 April 2020    Accepted: 01 June 2020    Published: 16 June 2020
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Abstract

Visceral arterial (VAA) and, specifically, splenic arterial aneurysms (SAA) are rare entities often associated with pregnancy. When ruptured, they can be fatal and require emergent management. This case report includes a review of the relevant literature and describes a unique, multidisciplinary approach to managing such an aneurysm. We describe the difficult situation of an already rupturing aneurysm and the careful coordination of obstetric, surgical, vascular, and interventional radiology teams. The distinctiveness of this case continues with the intraoperative finding of metallic coils freely protruding into the peritoneum from a recently coil-embolized ruptured splenic artery aneurysm. Such iatrogenic foreign bodies are a product of the integration of multiple specialities that can provide life-saving care when managing critical surgical disease such as ruptured splenic artery aneurysms. Multidisciplinary approaches should be considered depending upon the resources available at one’s institution.

DOI 10.11648/j.js.20200804.13
Published in Journal of Surgery (Volume 8, Issue 4, August 2020)
Page(s) 114-117
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Splenic, Visceral, Abdominal, Arterial, Aneurysm, Pregnancy, Rupture, Coil, Embolizations

References
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Author Information
  • Department of Surgery, Northwell Health, Staten Island University Hospital, New York, USA

  • Department of Surgery, Northwell Health, Staten Island University Hospital, New York, USA; Department of Trauma, Northwell Health, Staten Island University Hospital, New York, USA

  • Department of Surgery, Northwell Health, Staten Island University Hospital, New York, USA; Department of Trauma, Northwell Health, Staten Island University Hospital, New York, USA

  • Department of Surgery, Northwell Health, Staten Island University Hospital, New York, USA; Department of Vascular Surgery, Northwell Health, Staten Island University Hospital, New York, USA

  • Department of Surgery, Northwell Health, Staten Island University Hospital, New York, USA; Department of Trauma, Northwell Health, Staten Island University Hospital, New York, USA; Surgical ICU, Northwell Health, Staten Island University Hospital, New York, USA

Cite This Article
  • APA Style

    Thomas Kania, Samuel Hawkins, Vasiliy Sim, Jonathan Deitch, Asaf Gave. (2020). A Unique Presentation of Splenic Artery Aneurysm During Pregnancy. Journal of Surgery, 8(4), 114-117. https://doi.org/10.11648/j.js.20200804.13

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    ACS Style

    Thomas Kania; Samuel Hawkins; Vasiliy Sim; Jonathan Deitch; Asaf Gave. A Unique Presentation of Splenic Artery Aneurysm During Pregnancy. J. Surg. 2020, 8(4), 114-117. doi: 10.11648/j.js.20200804.13

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    AMA Style

    Thomas Kania, Samuel Hawkins, Vasiliy Sim, Jonathan Deitch, Asaf Gave. A Unique Presentation of Splenic Artery Aneurysm During Pregnancy. J Surg. 2020;8(4):114-117. doi: 10.11648/j.js.20200804.13

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  • @article{10.11648/j.js.20200804.13,
      author = {Thomas Kania and Samuel Hawkins and Vasiliy Sim and Jonathan Deitch and Asaf Gave},
      title = {A Unique Presentation of Splenic Artery Aneurysm During Pregnancy},
      journal = {Journal of Surgery},
      volume = {8},
      number = {4},
      pages = {114-117},
      doi = {10.11648/j.js.20200804.13},
      url = {https://doi.org/10.11648/j.js.20200804.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20200804.13},
      abstract = {Visceral arterial (VAA) and, specifically, splenic arterial aneurysms (SAA) are rare entities often associated with pregnancy. When ruptured, they can be fatal and require emergent management. This case report includes a review of the relevant literature and describes a unique, multidisciplinary approach to managing such an aneurysm. We describe the difficult situation of an already rupturing aneurysm and the careful coordination of obstetric, surgical, vascular, and interventional radiology teams. The distinctiveness of this case continues with the intraoperative finding of metallic coils freely protruding into the peritoneum from a recently coil-embolized ruptured splenic artery aneurysm. Such iatrogenic foreign bodies are a product of the integration of multiple specialities that can provide life-saving care when managing critical surgical disease such as ruptured splenic artery aneurysms. Multidisciplinary approaches should be considered depending upon the resources available at one’s institution.},
     year = {2020}
    }
    

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    T1  - A Unique Presentation of Splenic Artery Aneurysm During Pregnancy
    AU  - Thomas Kania
    AU  - Samuel Hawkins
    AU  - Vasiliy Sim
    AU  - Jonathan Deitch
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    AB  - Visceral arterial (VAA) and, specifically, splenic arterial aneurysms (SAA) are rare entities often associated with pregnancy. When ruptured, they can be fatal and require emergent management. This case report includes a review of the relevant literature and describes a unique, multidisciplinary approach to managing such an aneurysm. We describe the difficult situation of an already rupturing aneurysm and the careful coordination of obstetric, surgical, vascular, and interventional radiology teams. The distinctiveness of this case continues with the intraoperative finding of metallic coils freely protruding into the peritoneum from a recently coil-embolized ruptured splenic artery aneurysm. Such iatrogenic foreign bodies are a product of the integration of multiple specialities that can provide life-saving care when managing critical surgical disease such as ruptured splenic artery aneurysms. Multidisciplinary approaches should be considered depending upon the resources available at one’s institution.
    VL  - 8
    IS  - 4
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