{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:21:19Z","timestamp":1788884479375,"version":"build-2803163510"},"reference-count":25,"publisher":"International College of Surgeons","issue":"7-8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p>Splenic artery aneurysms (SAAs) are the third most frequent intra-abdominal aneurysm, following abdominal aorta and iliac artery aneurysms. SAAs are classified according to their involvement of arterial wall layers: true aneurysms involve all 3 layers (intima, media, and adventitia), and pseudoaneurysms involve only one or two. Herein we present a new case of giant pseudo SAA. A 65-year-old female patient with a pancreatic mass and iron deficiency was referred to our clinic for further investigation. Abdominal ultrasonography, contrast-enhanced CT and magnetic resonance imaging showed a lesion resembling a subcapsular hemangioma in the spleen, and aneurysmatic dilation of the splenic artery with a diameter of &gt;5 cm. The large size of the aneurysm and the clinical findings were indications for surgical treatment. The patient underwent en bloc resection of the spleen, distal pancreas, and aneurysmatic segment of the splenic artery. The patient remains complication-free 2 months after the operation. Spontaneous rupture is the most important life-threatening complications of giant SAAs. Therefore, all symptomatic patients with SAA should be treated, as well as asymptomatic patients with lesions \u22652 cm, who are pregnant or fertile, have portal hypertension, or are candidates for liver transplantation. Despite advances in endovascular techniques, conventional abdominal surgery remains the gold standard for treatment.<\/jats:p>","DOI":"10.9738\/intsurg-d-15-00043.1","type":"journal-article","created":{"date-parts":[[2015,11,23]],"date-time":"2015-11-23T19:38:25Z","timestamp":1448307505000},"page":"1244-1248","source":"Crossref","is-referenced-by-count":24,"title":["Giant Splenic Artery Pseudoaneurysm: A Case Report and Literature Review"],"prefix":"10.9738","volume":"100","author":[{"given":"Yusuf","family":"Yagmur","sequence":"first","affiliation":[{"name":"Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami","family":"Akbulut","sequence":"additional","affiliation":[{"name":"Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serdar","family":"Gumus","sequence":"additional","affiliation":[{"name":"Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firat","family":"Demircan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4721","reference":[{"issue":"3","key":"i0020-8868-100-7-1244-b01","series-title":"T\u00fcrk G\u00f6\u011f\u00fcs Kalp Damar Cerrahisi Dergisi","first-page":"799","article-title":"Giant splenic artery aneurysm: a case report [in Turkish]","volume":"21","author":"Uyar\n              IS,","year":"2013","unstructured":"Uyar\n              IS, \n            \n              Okur\n              FF, \n            \n              Akpinar\n              BA, \n            \n              Abacilar\n              F, \n            \n              Yurtman\n              V, \n            \n              Sahin\n              V.\n            \n          \n          Giant splenic artery aneurysm: a case report [in Turkish]. T\u00fcrk G\u00f6\u011f\u00fcs Kalp Damar Cerrahisi Dergisi2013;21(3):799\u2013802"},{"issue":"5-6","key":"i0020-8868-100-7-1244-b02","series-title":"Aging Clin Exp Res","first-page":"491","article-title":"Geriatric assessment of a giant splenic artery aneurysm accidentally diagnosed","volume":"23","author":"Orsitto\n              G,","year":"2011","unstructured":"Orsitto\n              G, \n            \n              Fulvio\n              F, \n            \n              Pinto\n              AG, \n            \n              Turi\n              V, \n            \n              Tria\n              D, \n            \n              Venezia\n              A.\n            \n          \n          Geriatric assessment of a giant splenic artery aneurysm accidentally diagnosed. 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Surg Sci2011;2:290\u2013293"},{"issue":"3","key":"i0020-8868-100-7-1244-b04","series-title":"Hepatobiliary Pancreat Dis Int","first-page":"330","article-title":"Management of splenic artery aneurysm associated with extrahepatic portal vein obstruction","volume":"11","author":"Mishra\n              PK,","year":"2012","unstructured":"Mishra\n              PK, \n            \n              Saluja\n              SS, \n            \n              Sharma\n              AK, \n            \n              Pattnaik\n              P.\n            \n          \n          Management of splenic artery aneurysm associated with extrahepatic portal vein obstruction. 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J Clin Diagn Res2014;8(9):MD01\u2013MD02"},{"issue":"2","key":"i0020-8868-100-7-1244-b12","series-title":"Pak J Med Sci","first-page":"656","article-title":"Intragastric rupture of splenic artery aneurysms: three case reports and literature review","volume":"29","author":"Miao\n              YD,","year":"2013","unstructured":"Miao\n              YD, \n            \n              Ye\n              B.\n            \n          \n          Intragastric rupture of splenic artery aneurysms: three case reports and literature review. Pak J Med Sci2013;29(2):656\u2013659"},{"issue":"10","key":"i0020-8868-100-7-1244-b13","series-title":"J Dig Dis","first-page":"549","article-title":"Splenic arteriovenous fistula: unusual cause of portal hypertension complicated with gastric variceal bleeding","volume":"13","author":"Law\n              ST,","year":"2012","unstructured":"Law\n              ST, \n            \n              Wong\n              CK, \n            \n              Chow\n              KC, \n            \n              Loo\n              KT.\n            \n          \n          Splenic arteriovenous fistula: unusual cause of portal hypertension complicated with gastric variceal bleeding. J Dig Dis2012;13(10):549\u2013552"},{"key":"i0020-8868-100-7-1244-b14","series-title":"Case Rep Radiol","article-title":"Transcatheter embolization for giant splenic artery aneurisms: still an open question","volume":"2012","author":"Mastroroberto\n              M,","year":"2012","unstructured":"Mastroroberto\n              M, \n            \n              Berardi\n              S, \n            \n              Renzulli\n              M, \n            \n              Maggoli\n              C, \n            \n              Pianta\n              P, \n            \n              Pinna\n              AD.\n            \n          \n          Transcatheter embolization for giant splenic artery aneurisms: still an open question. Case Rep Radiol2012;2012:652469"},{"key":"i0020-8868-100-7-1244-b15","series-title":"Vascular","article-title":"Successful endovascular management of giant splenic artery aneurysms","author":"Ho\n              MF,","year":"in press","unstructured":"Ho\n              MF, \n            \n              Chan\n              YC, \n            \n              Cheng\n              SW.\n            \n          \n          Successful endovascular management of giant splenic artery aneurysms. 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J Evol Med Dent Sci2013;2(44):8569\u20138573"},{"issue":"3","key":"i0020-8868-100-7-1244-b21","series-title":"Case Rep Gastroenterol","first-page":"487","article-title":"Coil migration after transarterial coil embolization of a splenic artery pseudoaneurysm","volume":"7","author":"Tekola\n              BD,","year":"2013","unstructured":"Tekola\n              BD, \n            \n              Arner\n              DM, \n            \n              Behm\n              BW.\n            \n          \n          Coil migration after transarterial coil embolization of a splenic artery pseudoaneurysm. 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ISRN Surg2011;2011:383450"},{"issue":"3","key":"i0020-8868-100-7-1244-b24","series-title":"J Vasc Surg","first-page":"574","article-title":"Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin-collagen injection","volume":"40","author":"Huang\n              IH,","year":"2004","unstructured":"Huang\n              IH, \n            \n              Zuckerman\n              DA, \n            \n              Matthews\n              JB.\n            \n          \n          Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin-collagen injection. 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