Work

Symptomatic multiple splenic artery aneurysms complicated by segmental portal hypertension: a case report

Year: 2026

Type: article

Abstract: Background Splenic artery aneurysms (SAAs) are the most common type of visceral arterial aneurysms; however, the occurrence of multiple splenic artery aneurysms (MSAAs) remains exceedingly rare. Case Presentation We report the case of a 42-year-old female who presented with persistent, intermittent left upper quadrant pain lasting for 2 years. Abdominal ultrasonography and contrast-enhanced computed tomography angiography revealed two SAAs located in the mid-portion closer to the hilum, measuring 2.5 × 2.5 cm and 1.9 cm. Crucially, the vascular imaging demonstrated significant concomitant engorgement of the splenic vein and localized splenic varices, indicative of secondary segmental portal hypertension. Given the persistent symptoms, lesion multiplicity, and complex regional venous involvement, conventional open surgical management was targeted. The patient underwent a successful left subcostal open splenectomy combined with complete aneurysmectomy and resection of the dilated collateral vessels, leading to an uneventful recovery and total resolution of symptoms. Conclusion This case underscores that clinical decision-making in MSAAs must comprehensively integrate clinical presentation and complex vascular morphology—such as multiplicity and secondary segmental portal hypertension—rather than relying strictly on conventional diameter thresholds to guide definitive intervention. Learning points

Source: Research Connections

DOI: 10.1093/rescon/vmag133

Authors: Rami Issa, Haider Aljurdi, Houssam Kinjo

Institution: Latakia University

Language: English

Topic: Abdominal vascular conditions and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000