Splenic artery aneurysm (SAA) is a rare complication after orthotopic liver transplantation (OLT). Although SAAs are often incidental findings, in some cases they present with signs and symptoms of abdominal mass or intra-abdominal hemorrhage. The diagnosis requires Doppler ultrasound and confirmation with computed tomography, magnetic resonance, or angiography. Endovascular techniques are preferred to surgery for the treatment of most SAAs. A variable interval from 6 days to 11 years has been reported between OLT and the diagnosis of SAA, justifying a lifelong scheduled surveillance of abdominal vessels by ultrasound after OLT. Herein we have reported a case of SAA that developed 16 years after OLT. This pathological condition was totally asymptomatic. Only routine abdominal ultrasound allowed its detection and subsequent successful treatment. © 2009 Elsevier Inc. All rights reserved.
Annicchiarico, B. E., Avolio, A. W., Caracciolo, G., Barbaro, B., Di Stasi, C., Agnes, S., Siciliano, M., Late Development of Splenic Artery Aneurysm After Orthotopic Liver Transplantation: A Case Report, <<TRANSPLANTATION PROCEEDINGS>>, 2009; 41 (4): 1383-1385. [doi:10.1016/j.transproceed.2009.03.025] [http://hdl.handle.net/10807/141895]
Late Development of Splenic Artery Aneurysm After Orthotopic Liver Transplantation: A Case Report
Annicchiarico, Brigida Eleonora;Avolio, Alfonso Wolfango;Barbaro, Brunella;Di Stasi, Carmine;Agnes, Salvatore;Siciliano, Massimo
2009
Abstract
Splenic artery aneurysm (SAA) is a rare complication after orthotopic liver transplantation (OLT). Although SAAs are often incidental findings, in some cases they present with signs and symptoms of abdominal mass or intra-abdominal hemorrhage. The diagnosis requires Doppler ultrasound and confirmation with computed tomography, magnetic resonance, or angiography. Endovascular techniques are preferred to surgery for the treatment of most SAAs. A variable interval from 6 days to 11 years has been reported between OLT and the diagnosis of SAA, justifying a lifelong scheduled surveillance of abdominal vessels by ultrasound after OLT. Herein we have reported a case of SAA that developed 16 years after OLT. This pathological condition was totally asymptomatic. Only routine abdominal ultrasound allowed its detection and subsequent successful treatment. © 2009 Elsevier Inc. All rights reserved.
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