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Case Reports in Surgery
Volume 2017, Article ID 8716962, 4 pages
https://doi.org/10.1155/2017/8716962
Case Report

Spleen-Preserving Surgery in Splenic Artery Aneurysm

Department of Gastroenterological Surgery, Kartal Koşuyolu High Speciality and Training Hospital, Kartal, Istanbul, Turkey

Correspondence should be addressed to UlaƟ Aday; moc.liamg@yadasalu

Received 28 July 2017; Accepted 13 September 2017; Published 17 December 2017

Academic Editor: Giovanni Mariscalco

Copyright © 2017 Ulaş Aday 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

Endovascular interventions are increasingly used in the treatment of a splenic artery aneurysm (SAA), which is a rare and life-threatening clinical disorder. However, in cases of SAA rupture, minimally invasive interventions are unsuitable, and open surgery remains the gold standard method. In open surgery, care should be taken to preserve the spleen and its immune function in cases where an arterial segment of sufficient length allows for reconstruction. An SAA was detected in a 51-year-old woman who presented to our polyclinic with left upper quadrant pain. An endovascular intervention was unsuccessful, and open surgery was performed. Approximately 5 cm of aneurysm in the middle segment of the splenic artery was treated by arterial anastomosis, and the spleen was preserved. The patient experienced no postoperative complications and remained asymptomatic at the seventh month of follow-up. The aim of this case report is to emphasize the importance of splenic sparing surgery in cases of SAAs.