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Doctor insights on: Aneurysm Splenic Artery

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29 yo female with two aneurysms in my splenic artery. Short of breath and pain in upper left abdominal area. Chance of rupture? Elective splenectomy?

29 yo female with two aneurysms in my splenic artery. Short of breath and pain in upper left abdominal area. Chance of rupture? Elective splenectomy?

Aneurysms: I believe your vascular surgeon is best qualified to evaluate and advise you as there may be no need to operate on these aneurysms unless they reach a certain size. I wouldn't expect shortness of breath to be related to the aneurysms unless they're leaking blood, but the left upper abdominal discomfort is of concern and the vascular surgeon's opinion about this is very important. ...Read more

Dr. Daniel Saurborn
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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What can be done for a splenic artery aneurysm?

What can be done for a  splenic artery aneurysm?

Many treatments: Common in women who have delivered children. Usually asymptotic and incidentally discovered. Most experts agree that an aneurysm under 2cm in size is of low risk to rupture. However, it is important to characterize the "aneurysm" correctly and be evaluated by a vascular expert. Coil embolization, surgical ligation with splenectomy, or monitoring may be reasonable. Cta imaging would best. ...Read more

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9mm splenic artery aneurysm is something to worry about ?

9mm splenic artery aneurysm is something to worry about
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Possibly: Most splenic artery aneurysms are not at any significant risk of rupture & bleeding until they reach around 20 mm so most vascular surgeons recommend following them annually until they reach that size, then repairing them at that time (most often with embolization or stenting rather than surgery). Occasionally an aneurysm will be symptomatic or grow fast & repair would be needed sooner than 20 mm. ...Read more

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Is splenic artery aneurysm something we inherit from family ?

Is splenic artery aneurysm something we inherit from family ?

Probably: Aneurysms of the splenic artery are the 2nd-3rd most common intra-abdominal aneurysms, and most common visceral artery aneurysm. The most common associated risk factors are portal hypertension and multiple pregnancies. Incidence is 4x higher in females than males. ...Read more

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A splenic artery aneurysm of 19mm or 22mm be fixed or just watched ?

A splenic artery aneurysm of 19mm or 22mm be fixed or just watched ?

Depends: The two sizes stated may have different recommendations - size alone will affect which one may need surgery. Hormonal status (i.e. Pre vs post menopausal) can affect decision as well. Additional characteristics of the aneurysm such as calcifications also might impact determination. For the one less than 2 cm and if asymptomatic, an observational strategy is likely. ...Read more

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Is a splenic artery aneurysm of 15mm considered a serious condition that should be operated on. ?

Is a splenic artery aneurysm of 15mm considered a serious condition that should be operated on. ?

Probably not: surgery for incidentally found splenic artery aneurysms is indicated for any that cause symptoms are more than 30 mm in diameter or or are detected in women who are pregnant or of childbearing age because those patients have an increased chance of rupture ...Read more

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What does redemonstration of a patent splenic artery aneurysm maximum dimension on contrast enhanced images is 19mm mean?

What does redemonstration of a patent splenic artery aneurysm maximum dimension on contrast enhanced images is 19mm mean?

Little bulge: "Redemmonstration" means it's been seen before, hopefully a while back, because that means it's stable and not growing. The aneurysm is a bulge in the artery to your spleen. This can rupture, which is sometimes fatal. 19mm isn't very big, but it's big enough to do something about it. We now have endovascular repair methods, so you wouldn't need surgery. But I recommend you take care of it! ...Read more

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Can a calisfied splenic artery aneurysm shrink on its own or will it only grow? Is there a lifestyle change to get it to shrink?

Can a calisfied splenic artery aneurysm shrink on its own or will it only grow? Is there a lifestyle change to get it to shrink?

Calcification in an: ...aneurysm is consistent with a process that has likely existed for some time. Aneurysm size is pertinent to your question, but what you've described is not likely to shrink with lifestyle change alone. ...Read more

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I have a calisfied splenic artery aneurysm found by X-ray for other problem is this hereditary that my adult children will have it?

I have a calisfied splenic artery aneurysm found by X-ray for other problem is this hereditary that my adult children will have it?

Not the calcificatio: The risk factors for splenic artery aneurysms are thought to be high "portal vein" pressures (from liver damage) & multiple pregnancies. Neither of these conditions per se is genetic, although many risk factors could have a familial basis (ie, high blood pressure & fertility). If this were hereditary, then your parents, grandparents, uncles/aunts, & siblings would have suffered. If so, then screen ...Read more

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How serious is a 9 mm partly calcified splenic artery aneurysm? I have been hurting for some time now and now I sick worrying. What should I do?

How serious is a 9 mm partly calcified splenic artery aneurysm? I have been hurting for some time now and now I sick worrying.  What should I do?

How are you feeling?: Splenic artery aneurysms, although more common than other visceral aneurysms, are quite rare. This makes it very difficult to draw conclusions. Pregnancy has been associated with increased incidence of rupture of these anomalies. It sounds like you've had some kind of evaluation and, particularly if you are having symptoms, I would return to your doctor to address the source of your unease. GL! ...Read more

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I have a splenic artery aneurysm and its 1.5 CM and it was 1cm in nov. and i been having pain in my left side to my back. its not calcified.what to do?

I have a splenic artery aneurysm and its 1.5 CM and it was 1cm in nov. and i been having pain in my left side to my back. its not calcified.what to do?

Get Repair NOW: I would recommend immediate repair. ALL females of reproductive age with splenic artery aneurysms need to have them repaired. And ALL patients with symptomatic or significantly enlarging splenic artery aneurysms also need them repaired. Enlargement of 0.5 cm since Nov is a significant growth for this aneurysm. And the left sided and back pain is very concerning. See vascular surgeon ASAP. ...Read more

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What is the difference between a splenic artery aneurysm and a calcified splenic artery? Can a calcified one burst?

Yes it can rupture: but less chance than non calcified splenic artery aneurysm . Calcium is deposited on the wall of artery ,. Size , progressive increase of are the factors for intervention. ...Read more

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If a splenic artery aneurysm is calcified does that mean it has been there for a while? And could you have been born with it?

If a splenic artery aneurysm is calcified does that mean it has been there for a while? And could you have been born with it?

No not born with: Splenic artery had potential to rupture , especially in pregnant woman during delivery , also depend on the size , good news calcified ones like your has less chance to rupture than non calcified . Need close observation or it could be coiled safely and avoid potential complication. Speak to your doctor and decide . ...Read more

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Calisfied splenic artery aneurysm of 19m is it ok to watch yearly last yr it was 17m but radiology said No change on remeasure from last yr?

Calisfied splenic artery aneurysm of 19m is it ok to watch yearly last yr it was 17m but radiology said No change on remeasure from last yr?

Spenic Artery: Studies show that the management of splenic artery aneurysms depends on size. Larger ones carry a chance of rupture, which can be lethal. The artery is tortuous in its course and incidental SAA can be found. One study showed the mean size at finding was 16mm and the mean size they operated on was 31mm. The study suggests that SAA less than 20mm are small and carry less risk of rupture. ...Read more

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I have pain under left ribs i had a scope yesterday and he did not find nothing. I have a splenic artery aneurysm and it's one centimeter could thatbe?

I have pain under left ribs i had a scope yesterday and he did not find nothing. I have a splenic artery aneurysm and it's one centimeter could thatbe?

Not likely: A 1cm splenic artery aneurysm should not cause any symptoms. Intervention is indicated for aneurysms 2cm or greater. Your symptoms may be from rib trauma, muscle strain, etc. If the testing was negative, a ct scan or bone scan may give some answers. ...Read more

Dr. Shadi Abu Halimah
1,395 doctors shared insights

Aneurysm (Definition)

An aneurysm is an abnormally dilated blood vessel, usually defined as a diameter 2x normal or larger. As weakened vessels get larger, there is risk of potential ...Read more


Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more