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Aneurysm of Splenic Artery With Calcification

Aneurysm of Splenic Artery With Calcification Abstract Aneurysm of the splenic artery is an infrequent lesion. The diagnosis is rarely made from clinical symptoms alone. Rupture is attended by a very high mortality. However, if the lesion is diagnosed before rupture occurs, surgical treatment is usually uneventful and successful. We present a case which was diagnosed before rupture and was successfully treated surgically. Report of a Case A 53-year-old housewife, postmenopausal, healthy, was admitted to Ravenswood Hospital on March 24, 1962, for surgical treatment of a possible calcified aneurysm of the splenic artery. During her last admission the patient's chief complaint was a "fire ball in the stomach." Present Illness. —In the past six to eight years, she had suffered from headache with nausea, occasional vomiting, bloating, and full sensation under the left costal margin which was associated with occasional pain in the back and shoulders.About four years ago, while bending over, she felt a "twisting References 1. Baumgartner, E. A., and Thomas, W. S.: Aneurysm of the Splenic Artery , Surg Gynec Obstet 39:462, 1924. 2. Berger, J. S.; Forsee, J. H., and Furst, J. N.: Splenic Arterial Aneurysm , Ann Surg 137:108, 1953.Crossref 3. Chalmers, J. A.: Rupture of a Splenic Arterial Aneurysm as a Fatal Complication of Pregnancy , Brit J Surg 37:86, 1949.Crossref 4. Culver, G. J., and Prison, H. S.: Splenic Artery Aneurysm: Report on 17 Cases Showing Calcification on Plain Roentgenograms , Radiology 68:217, 1957.Crossref 5. Davis, B. F.: Aneurysm of the Splenic Artery: Operative Removal , JAMA 84:200, 1925.Crossref 6. Downs, C. R.; Hopeman, A. R.; Todd, W. A., Jr.; and Mathewson, C.: Aneurysm of Splenic Artery , Ann Surg 141:268, 1955.Crossref 7. Gillam, J. F. E.: Spontaneous Rupture of the Splenic Artery , Brit J Surg 36:203, 1948.Crossref 8. Hunt, E. L.: Aneurysm of the Splenic Artery: With Report of a Case With Rupture , Amer J Med Sci 176:195, 1928.Crossref 9. Lower, W. E., and Farrell, J. I.: Aneurysm of the Splenic Artery , Arch Surg 23:182, 1931.Crossref 10. Machemer, W. L., and Fuge, W. W.: Aneurysm of the Splenic Artery: Report of a Case and Review of the Literature , Arch Surg 39:190, 1939.Crossref 11. MacLeod, D., and Maurice, T.: Rupture of Branch of Splenic Artery Associated With Pregnancy , Lancet 1:924, 1940.Crossref 12. Nevin, S., and Williams, D. J.: The Pathogenesis of Multiple Aneurysms , Lancet 2:955, 1937.Crossref 13. Osborne, S. E.: Aneurysm of the Splenic Artery Simulating Cholecystitis , Lancet 1:1007, 1936.Crossref 14. Owens, J. C., and Coffey, R. J.: Aneurysm of the Splenic Artery, Including a Report of Six Additional Cases , Int Abstr Surg 97:313, 1953. 15. Palmer, T. H.: Aneurysm of the Splenic Artery , New Eng J Med 243:989, 1950.Crossref 16. Parsons, C. G.: A Case of Ruptured Aneurysm of the Splenic Artery With Recurrence , Brit J Surg 24:708, 1937.Crossref 17. Seids, J. V., and Hauser, H.: Aneurysm of the Splenic Artery , Radiology 36:171, 1941.Crossref 18. Shallow, T. A.; Herbert, P. A.; and Wagner, F. B.: Abdominal Apoplexy Secondary to Ruptured "Congenital" Aneurysm , Surgery 19:177, 1946. 19. Sherlock, S. P. V., and Learmonth, J. I.: Aneurysm of Splenic Artery With Account of Example Complicating Gaucher's Disease , Brit J Surg 30:151, 1942.Crossref 20. Sherwin, B., and Gardimer, H.: Aneurysm of the Splenic Artery , Ann Surg 131:599, 1950.Crossref 21. Steinberg, I., and Lord, J. W., Jr.: Splenic Artery Aneurysm: Diagnosis by Intravenous Abdominal Aortography , JAMA 174:74, 1960.Crossref 22. Steinberg, I.: Diagnosis of Aneurysm of the Hepatic and Splenic Arteries by Intravenous Abdominal Aortography , New Eng J Med 263:341, 1960.Crossref 23. Smith, W. R.: A Case of Ruptured Aneurysm of the Splenic Artery , JAMA 80:1692, 1923.Crossref 24. Sperling, L.: Aneurysm of the Splenic Artery , Surgery 8:633, 1940. 25. Spittel, J. A., Jr.; Fairbairn, J. F., II; Kincaid, O. W.; and ReMine, W. H.: Aneurysm of the Splenic Artery , JAMA 175:452, 1961.Crossref 26. Tomsykoski, A. J.; Stevens, R. C.; Izzo, P. A.; and Rodriquez, C. E.: Aneurysm of the Splenic Artery in Pregnancy , Amer J Obstet Gynec 66: 1264, 1953. 27. Zeluff, G. W., and Parsonnet, V.: Ruptured Aneurysm of the Splenic Artery: Case Report With Discussion , Ann Intern Med 35:437, 1951.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Aneurysm of Splenic Artery With Calcification

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310160138028
Publisher site
See Article on Publisher Site

Abstract

Abstract Aneurysm of the splenic artery is an infrequent lesion. The diagnosis is rarely made from clinical symptoms alone. Rupture is attended by a very high mortality. However, if the lesion is diagnosed before rupture occurs, surgical treatment is usually uneventful and successful. We present a case which was diagnosed before rupture and was successfully treated surgically. Report of a Case A 53-year-old housewife, postmenopausal, healthy, was admitted to Ravenswood Hospital on March 24, 1962, for surgical treatment of a possible calcified aneurysm of the splenic artery. During her last admission the patient's chief complaint was a "fire ball in the stomach." Present Illness. —In the past six to eight years, she had suffered from headache with nausea, occasional vomiting, bloating, and full sensation under the left costal margin which was associated with occasional pain in the back and shoulders.About four years ago, while bending over, she felt a "twisting References 1. Baumgartner, E. A., and Thomas, W. S.: Aneurysm of the Splenic Artery , Surg Gynec Obstet 39:462, 1924. 2. Berger, J. S.; Forsee, J. H., and Furst, J. N.: Splenic Arterial Aneurysm , Ann Surg 137:108, 1953.Crossref 3. Chalmers, J. A.: Rupture of a Splenic Arterial Aneurysm as a Fatal Complication of Pregnancy , Brit J Surg 37:86, 1949.Crossref 4. Culver, G. J., and Prison, H. S.: Splenic Artery Aneurysm: Report on 17 Cases Showing Calcification on Plain Roentgenograms , Radiology 68:217, 1957.Crossref 5. Davis, B. F.: Aneurysm of the Splenic Artery: Operative Removal , JAMA 84:200, 1925.Crossref 6. Downs, C. R.; Hopeman, A. R.; Todd, W. A., Jr.; and Mathewson, C.: Aneurysm of Splenic Artery , Ann Surg 141:268, 1955.Crossref 7. Gillam, J. F. E.: Spontaneous Rupture of the Splenic Artery , Brit J Surg 36:203, 1948.Crossref 8. Hunt, E. L.: Aneurysm of the Splenic Artery: With Report of a Case With Rupture , Amer J Med Sci 176:195, 1928.Crossref 9. Lower, W. E., and Farrell, J. I.: Aneurysm of the Splenic Artery , Arch Surg 23:182, 1931.Crossref 10. Machemer, W. L., and Fuge, W. W.: Aneurysm of the Splenic Artery: Report of a Case and Review of the Literature , Arch Surg 39:190, 1939.Crossref 11. MacLeod, D., and Maurice, T.: Rupture of Branch of Splenic Artery Associated With Pregnancy , Lancet 1:924, 1940.Crossref 12. Nevin, S., and Williams, D. J.: The Pathogenesis of Multiple Aneurysms , Lancet 2:955, 1937.Crossref 13. Osborne, S. E.: Aneurysm of the Splenic Artery Simulating Cholecystitis , Lancet 1:1007, 1936.Crossref 14. Owens, J. C., and Coffey, R. J.: Aneurysm of the Splenic Artery, Including a Report of Six Additional Cases , Int Abstr Surg 97:313, 1953. 15. Palmer, T. H.: Aneurysm of the Splenic Artery , New Eng J Med 243:989, 1950.Crossref 16. Parsons, C. G.: A Case of Ruptured Aneurysm of the Splenic Artery With Recurrence , Brit J Surg 24:708, 1937.Crossref 17. Seids, J. V., and Hauser, H.: Aneurysm of the Splenic Artery , Radiology 36:171, 1941.Crossref 18. Shallow, T. A.; Herbert, P. A.; and Wagner, F. B.: Abdominal Apoplexy Secondary to Ruptured "Congenital" Aneurysm , Surgery 19:177, 1946. 19. Sherlock, S. P. V., and Learmonth, J. I.: Aneurysm of Splenic Artery With Account of Example Complicating Gaucher's Disease , Brit J Surg 30:151, 1942.Crossref 20. Sherwin, B., and Gardimer, H.: Aneurysm of the Splenic Artery , Ann Surg 131:599, 1950.Crossref 21. Steinberg, I., and Lord, J. W., Jr.: Splenic Artery Aneurysm: Diagnosis by Intravenous Abdominal Aortography , JAMA 174:74, 1960.Crossref 22. Steinberg, I.: Diagnosis of Aneurysm of the Hepatic and Splenic Arteries by Intravenous Abdominal Aortography , New Eng J Med 263:341, 1960.Crossref 23. Smith, W. R.: A Case of Ruptured Aneurysm of the Splenic Artery , JAMA 80:1692, 1923.Crossref 24. Sperling, L.: Aneurysm of the Splenic Artery , Surgery 8:633, 1940. 25. Spittel, J. A., Jr.; Fairbairn, J. F., II; Kincaid, O. W.; and ReMine, W. H.: Aneurysm of the Splenic Artery , JAMA 175:452, 1961.Crossref 26. Tomsykoski, A. J.; Stevens, R. C.; Izzo, P. A.; and Rodriquez, C. E.: Aneurysm of the Splenic Artery in Pregnancy , Amer J Obstet Gynec 66: 1264, 1953. 27. Zeluff, G. W., and Parsonnet, V.: Ruptured Aneurysm of the Splenic Artery: Case Report With Discussion , Ann Intern Med 35:437, 1951.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1963

References