| Journal: | Revista do Colegio Brasileiro de Cirurgioes |
| Database: | PERIÓDICA |
| System number: | 000149748 |
| ISSN: | 0100-6991 |
| Authors: | Lopes, Luis Cesar1 Silva, Luis Felipe da Sahagoff, Joao Farjoun, Luciana |
| Institutions: | 1Universidade Federal do Rio de Janeiro, Hospital Universitario, Rio de Janeiro. Brasil |
| Year: | 1999 |
| Season: | Ene-Feb |
| Volumen: | 26 |
| Number: | 1 |
| Pages: | 51-55 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Descriptivo, caso clínico |
| English 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% |
| Portuguese abstract | 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 |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Sistema cardiovascular, Aneurismas, Arteria esplénica |
| Keyword: | Medicine, Cardiovascular system, Surgery, Aneurysms, Splenic artery |
| Full text: | Texto completo (Ver PDF) |
