Laparoscopic resection of a splenic artery aneurysm with splenic preservation
Epublication WebSurg.com, Jun 2016;16(06). URL: http://websurg.com/doi/vd01en4736
This video illustrates the laparoscopic resection of a splenic artery aneurysm with splenic preservation in a young lady. The lesion was discovered fortuitously by ultrasound for an unrelated cause. Embolization was unsuccessful because of the inability of our interventional radiology team to reach the aneurysm itself for coiling. It is thought that splenic artery aneurysms are present in 1% of the population (1), and coiling/resection is often advocated, especially in young women in childbearing age. The aneurysm was isolated and its multiple feeding vessels clipped before complete resection. The spleen remained well vascularized through the short gastric vessels and was left in situ. 1. Ayalon A, Wiesner RH, Perkins JD, Tominaga S, Hayes DH, Krom RA. Splenic artery aneurysms in liver transplant patients. Transplantation 1988;45:386-9.