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Portal Hipertansiyonla Birlikte Splenik Arter Anevrizması

Portal Hypertension Associated With Splenic Artery Aneurysm

Journal Name:

  • Uludağ Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
The splenic artery is the third most common site of intraabdominal aneurysms after aneurysms of the abdominal aorta and the iliac arteries. Aneurysms of the splenic artery are a rare complication of portal hypertension in adults because of increased splenic artery blood flow as a result of the hyperdynamic circulation that occurs in cirrhosis. They are more common in females and also occur in association with diabetes mellitus, vascular disease such as arteriosclerosis, multiparity and alpha-1-antitrypsin deficiency. Most true splenic artery aneurysms are asymptomatic and are diagnosed incidentally. The risk of rupture increases with pregnancy, with portal hypertension, and after liver transplantation. We present a case of two aneurysms of distal segmental branch of splenic artery in adults with chronic liver disease and portal hypertension.
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Abstract (Original Language): 
Splenik arter, abdominal aorta ve iliak arterlerden sonra üçüncü en sık intraabdominal anevrizma yeridir. Splenik arter anevrizmaları, sirozda, hiperdinamik sirkülasyon sonucu, splenik arter kan akımının artmasıyla oluşan portal hipertansiyonun nadir bir komplikasyonudur. Kadınlarda sıktır ve diabetes mellitus, ateroskleroz gibi vasküler hastalıklar, multiparite ve alfa-1 antitripsin eksiliğinde de görülebilir. Birçok gerçek splenik arter anevrizması asemptomatiktir ve tanı rastlantısal olarak konur. Rüptür riski gebelik, portal hipertansiyon ve karaciğer transplantasyonu sonrası artar. Amacımız, splenik arter disal segmental dalında iki anevrizması olan, kronik karaciğer hastalığı ve portal hipertansiyonlu olguyu sunmaktır
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  • 1
47-49
  • Turkish

REFERENCES

References: 

1. Pasha SF, Gloviczki P, Stanson AW, Kamath PS. Splanchnic
artery aneurysms. Mayo Clin Proc 2007;82:472-9
2. Horton KM, Smith C, Fishman EK. MDCT and 3D CT
angiography of splanchnic artery aneurysms. AJR
2007;189:641-7
3. Agrawal GA, Johnson PT, Fishman EK. Splenic artery
aneurysms and pseudoaneurysms: clinical distinctions and CT
appearances. AJR 2007;188:992-9
4. Lee PC, Rhee RY, Gordon RY, Fung JJ, Webster MW.
Management of splenic artery aneurysms: the significance of
portal and essential hypertension. J Am Coll Surg
1999;189:483–90.
5. Kobori L, van der Kolk MJ, de Jong KP, Peeters, et al. Splenic
artery aneurysms in liver transplant patients. J Hepatol 1997;27:
890–3.
6. Ayalon A, Wiesner RH, Perkins JD, Tominaga S, Hayes DH,
Krom RA. Splenic artery aneurysms in liver transplant patients.
Transplantation 1988;45:386-9
7. Puttini M, Aseni P, Brambilla G, Belli L. Splenic artery
aneurysms in portal hypertension. J Cardiovasc Surg
1982;23:490-3.
8. Selo-Ojeme DO, Welch CC. Spontaneous rupture of splenic
artery aneurysm in pregnancy. Eur J Obstet Gynecol Reprod
Biol 2003;109:124–7.
9. Owens CA, Yaghmai B, Aletich V, Benedetti E. Coil
embolization of a wide-neck splenic artery aneurysm using a
remodeling technique. AJR 2002;179:1327-9.
10. Ishida H, Konno K, Hamashima Y, et al. Splenic artery
aneurysm: value of color Doppler and the limitation of grayscale ultrasonography. Abdom Imaging 1998;23: 627–32.
11. Evans HM, Sharif K, Brown RM, Platt C, Crisp WJ, Kelly DA.
Fatal and life threatening rupture of splenic artery aneurysms in
children with portal hypertension. Pediatr Transplant
2004;8:192-5
12. Ohta M, Hashizume M, Ueno K, Tanoue K, Sugimachi K,
Hasuo K. Splenic hyperkinetic state and splenic artery
aneurysm in portal hypertension. Hepatogastroenterology
1992;39:529-32

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