L'aneurisma dell'arteria splenica. Caso clinico e revisione della letteratura

The Authors report a case of syrnptornatic large rnidsplenic artery aneurysrn (ASA) in a 58-years-oldman. The symptoms were: continous epigastric pain with irradiation to the left hipochondrium. First theyconsider etiopathogenetic factors: arterial fibrodysplasia, portal hypertension, infiammatory process of thevessel wall, pregnancy and correlate hormonal hemodynamic events. Finally they analyze diagnosis andtirning of the surgical treatment; particulary exclusion or resection of the ASA is raccomended for symptomatic or ruptured aneurysrn, even for wornen of childbearing age. Embolization is considered the choicetreatment of ASA in high-risk patients.