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EURO EUS MEETING
Year : 2014  |  Volume : 3  |  Issue : 5  |  Page : 8-9

True and false splenic artery aneurysm on endoscopic ultrasonography: Two-case analysis


Medical Rehabilitation Centre, Moscow, Russia

Date of Web Publication27-Mar-2014

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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Silina T, Butkevich D, Shpitonkov A, Brovkin A, Nalivaiskyi A, Filatov A, Kutuzov T, Lukyanov A, Mostovoy I, Koshelev M, Gordeev S, Ostretsov R. True and false splenic artery aneurysm on endoscopic ultrasonography: Two-case analysis. Endosc Ultrasound 2014;3, Suppl S1:8-9

How to cite this URL:
Silina T, Butkevich D, Shpitonkov A, Brovkin A, Nalivaiskyi A, Filatov A, Kutuzov T, Lukyanov A, Mostovoy I, Koshelev M, Gordeev S, Ostretsov R. True and false splenic artery aneurysm on endoscopic ultrasonography: Two-case analysis. Endosc Ultrasound [serial online] 2014 [cited 2020 Jan 23];3, Suppl S1:8-9. Available from: http://www.eusjournal.com/text.asp?2014/3/5/8/129509

Introduction: The etiology of true and false splenic artery aneurysm is different, but the differential X-ray contrast diagnosis could be difficult. Purpose - to detect endoscopic ultrasonography (EUS) diagnostic capability for false and true splenic artery aneurysm by considering two clinical cases: With suspected stomach and pancreatic lesions.

Materials and Methods: First case: Patient, female, 50-year-old with suspected stomach lesion, complicated by gastric bleeding. Endoscopy - acute gastric ulcer. X-ray - submucosal gastric tumor. The patient was sent to the EUS with fine-needle aspiration. Second case: Patient, male, 73-year-old with suspected pancreatic neoplasm. Ultrasound - pancreatic cysts. Computed tomography (CT) - neoplasm of the pancreas body. Celiacography - splenic artery aneurysm. The patient was sent to the EUS to clarify the diagnosis.

Results: First patient EUS - anechoic rounded lesion with thick wall close to the stomach. Stomach wall layers were not differentiated above the lesion. Doppler - turbulent blood flow. EUS excluded submucosal lesion and proved the presence of aneurysm. CT confirmed the aneurysm. Post-operative histology - splenic artery pseudoaneurysm, destruction of the stomach wall and pancreatic parenchyma. Second patient EUS - ovoid solid-cystic lesion with thin hyperechoic "capsule." Doppler in cystic part - arterial blood flow. EUS suspected saccular splenic artery aneurysm with the neck and the residual lumen. Post-operative histology - true splenic artery aneurysm with thrombotic masses near the wall, pancreatic parenchyma was intact.

Conclusion: EUS can reliably differentiate splenic artery aneurysm from gastric submucosal lesion and differentiate true and false aneurysm with high probability.

Status of the presenting author: Chief resident

The authors declare: No significant relationship.




 

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