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Volume 8, Issue 4, August 2020, Page: 114-117
A Unique Presentation of Splenic Artery Aneurysm During Pregnancy
Thomas Kania, Department of Surgery, Northwell Health, Staten Island University Hospital, New York, USA
Samuel Hawkins, Department of Surgery, Northwell Health, Staten Island University Hospital, New York, USA; Department of Trauma, Northwell Health, Staten Island University Hospital, New York, USA
Vasiliy Sim, Department of Surgery, Northwell Health, Staten Island University Hospital, New York, USA; Department of Trauma, Northwell Health, Staten Island University Hospital, New York, USA
Jonathan Deitch, 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
Asaf Gave, 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
Received: Apr. 27, 2020;       Accepted: Jun. 1, 2020;       Published: Jun. 16, 2020
DOI: 10.11648/j.js.20200804.13      View  284      Downloads  122
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.
Keywords
Splenic, Visceral, Abdominal, Arterial, Aneurysm, Pregnancy, Rupture, Coil, Embolizations
To cite this article
Thomas Kania, Samuel Hawkins, Vasiliy Sim, Jonathan Deitch, Asaf Gave, A Unique Presentation of Splenic Artery Aneurysm During Pregnancy, Journal of Surgery. Vol. 8, No. 4, 2020, pp. 114-117. doi: 10.11648/j.js.20200804.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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