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Case Reports in Gastrointestinal Medicine
Volume 2011 (2011), Article ID 908529, 3 pages
http://dx.doi.org/10.1155/2011/908529
Case Report

Splenic Artery Aneurysm Presenting as Extrahepatic Portal Vein Obstruction: A Case Report

Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India

Received 26 May 2011; Accepted 22 June 2011

Academic Editors: O. I. Giouleme, V. Lorenzo-Zúñiga, Y. Moriwaki, and M. Moshkowitz

Copyright © 2011 T. P. Elamurugan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Splenic artery aneurysms are the most common visceral aneurysm occuring predominantly in females. They are usually asymptomatic, and the symptomatic presentation includes chronic abdominal pain of varied severity or an acute rupture with hypotension. Splenic artery aneurysm causing extrahepatic portal hypertension is very rare and is due to splenic vein thrombosis that develops secondary to compression by the aneurysm. We report one such rare presentation of splenic artery aneurysms in a pregnant female with the features of EHPVO (variceal bleed, hypersplenism) treated by splenectomy along with excision of the aneurysm.