Case Report
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World J Gastroenterol. Apr 28, 2014; 20(16): 4835-4838
Published online Apr 28, 2014. doi: 10.3748/wjg.v20.i16.4835
Laparoscopic ligation of proximal splenic artery aneurysm with splenic function preservation
Yun-Hai Wei, Jie-Wei Xu, Hua-Ping Shen, Guo-Lei Zhang, Harsha Ajoodhea, Ren-Chao Zhang, Yi-Ping Mou
Yun-Hai Wei, Jie-Wei Xu, Hua-Ping Shen, Guo-Lei Zhang, Department of General Surgery, the Central Hospital of Huzhou, Huzhou 313000, Zhejiang Province, China
Harsha Ajoodhea, Ren-Chao Zhang, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Author contributions: Wei YH, Xu JW, Shen HP, Zhang GL and Mou YP performed the operation; Wei YH, Xu JW, Shen HP and Zhang GL collected case data; Wei YH, Ajoodhea H and Zhang RC wrote the manuscript; Mou YP proofread and revised the manuscript; all authors approved the version to be published.
Supported by Key Disciplines of Medicine, Zhejiang Province, China, No. 11-CX21
Correspondence to: Yi-Ping Mou, MD, FACS, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou 310016, Zhejiang Province, China. mouyp@srrsh.com
Telephone: +86-571-86006952 Fax:+86-571-86044817
Received: October 18, 2013
Revised: December 28, 2013
Accepted: March 5, 2014
Published online: April 28, 2014
Abstract

Splenic artery aneurysm is one of the most common visceral aneurysms, and patients with this type of aneurysm often present without symptoms. However, when rupture occurs, it can be a catastrophic event. Although most of these aneurysms can be treated with percutaneous embolization, some located in uncommon parts of the splenic artery may make this approach impossible. We present a patient with an aneurysm in the proximal splenic artery, close to the celiac trunk, which was treated by laparoscopic ligation only, without resection of the aneurysm, and with long-term preservation of splenic function.

Keywords: Laparoscopy, Splenic artery, Aneurysm, Laparoscopic ligation, Splenic function preservation

Core tip: An aneurysm in the proximal splenic artery is rare. Few cases of an aneurysm in the proximal splenic artery treated by laparoscopic techniques have been reported in the literature. We present a case of splenic artery aneurysm located in the proximal splenic artery which was treated by laparoscopic ligation with long-term preservation of splenic function. This is the first case of laparoscopic ligation of a proximal artery aneurysm with preservation of splenic function to be reported in the English literature.