Aneurisma da artéria esplênica

Esplenic artery aneurysm

Resumos

Splenic artery aneurysm is a rare disease whose incidence varies from 1.6% in autopsies of the general population to 7.1% in autopsies of people suffering from portal hypertension.¹ It was first describt by Beussier 9 in 1770. In most cases the aneurysms are detected as occasional finds during clinical investigation of other diseases.² lt is being diagnosed more frequently nowadays because of the increasing use of Duplex Scan, computorized tomografy and visceral arteriography.11 ln opposition to the aneurysms of great vessels, which are more frequent in men, aneurysms of the splenic artery is more frequent in women.³ This study investigates ten patients with aneurysms of the splenic artery, treated in the Universitary Hospital Clementino Fraga Filho between 1978 and 1997. The diagnosis was made by arteriography in four patients, by tomography in two, by ultrasound in two. One aneurysm was diagnosed by simple abdominal X-ray and one could only be found during the surgical procedure, as it was ruptured. There was a total of 14 aneurysms, unique in nine patients and multiple (five) in one. We found a predominance of women in a rate of four women to each man. Surgical treatment was made in 60% of the patients, embolization with Gianturco coills and Gellfoan in 10%, association of embolization and surgery in 10% and clinical treatment in 20%. There was no death during treatment.

Aneurysm; Splenic artery

ARTIGOS ORIGINAIS

Aneurisma da artéria esplênica

Esplenic artery aneurysm

Luis César Lopes^I; Luis Felipe da Silva, TCBC-RJ^II; João Sahagoff^III; Luciana Farjoun^IV

^IMédico do Serviço de Cirurgia Vascular do Hospital Universitário da UFRJ

^IIChefe do Serviço de Cirurgia Vascular do Hospital Universitário da UFRJ

^IIIMestrando do Serviço de Cirurgia Vascular do Hospital Universitário da UFRJ

^IVMédica Residente do Serviço de Cirurgia Vascular do Hospital Universitário da UFRJ

^{Endereço para correspondência}

RESUMO

Foram analisados retrospectivamente dez pacientes portadores de aneurisma da artéria esplênica, submetidos a tratamento no Hospital Universitário Clementino Fraga Filho, no período compreendido entre outubro de 1978 a março de 1997. Perfaziam um total de 14 aneurismas da artéria esplênica, sendo únicos em nove pacientes e múltiplos (cinco) em um paciente. Houve predominância do sexo feminino com relação mulher/homem de 4/1. Foi realizado tratamento cirúrgico em 60% dos pacientes, embolização dos aneurismas em 10%, associação de embolização e cirurgia em 10% e tratamento conservador em 20%. Nenhum óbito ocorreu durante o tratamento.

Unitermos: Aneurisma; Artéria esplênica.

ABSTRACT

Splenic artery aneurysm is a rare disease whose incidence varies from 1.6% in autopsies of the general population to 7.1% in autopsies of people suffering from portal hypertension.¹ It was first describt by Beussier ⁹ in 1770. In most cases the aneurysms are detected as occasional finds during clinical investigation of other diseases.² lt is being diagnosed more frequently nowadays because of the increasing use of Duplex Scan, computorized tomografy and visceral arteriography.¹¹ ln opposition to the aneurysms of great vessels, which are more frequent in men, aneurysms of the splenic artery is more frequent in women.³ This study investigates ten patients with aneurysms of the splenic artery, treated in the Universitary Hospital Clementino Fraga Filho between 1978 and 1997. The diagnosis was made by arteriography in four patients, by tomography in two, by ultrasound in two. One aneurysm was diagnosed by simple abdominal X-ray and one could only be found during the surgical procedure, as it was ruptured. There was a total of 14 aneurysms, unique in nine patients and multiple (five) in one. We found a predominance of women in a rate of four women to each man. Surgical treatment was made in 60% of the patients, embolization with Gianturco coills and Gellfoan in 10%, association of embolization and surgery in 10% and clinical treatment in 20%. There was no death during treatment.

Key words: Aneurysm; Splenic artery.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Recebido em 5/3/98

Aceito para publicação em 26/10/98

Trabalho realizado no Serviço de Cirurgia Vascular do Hospital Universitário Clementino Fraga Filho da UFRJ.

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Endereço para correspondência:

Dr. Luís César Lopes

Rua Visco de Tocantins, 27/303

20770-075 - Rio de Janeiro - RJ

Datas de Publicação

• Publicação nesta coleção
  25 Fev 2010
• Data do Fascículo
  Fev 1999

Histórico

• Recebido
  05 Mar 1998
• Aceito
  26 Out 1998