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splenic artery aneurysm
a localized dilation of the splenic artery, typically defined as an increase in vessel diameter of at least 50% compared to the normal vessel caliber
etiology of a splenic artery aneurysm:
atherosclerosis
portal HTN
fibromuscular dysplasia
trauma
clinical signs and symptoms of a splenic artery aneurysm:
often asymptomatic
LUQ or epigastric pain
may feel a palpable pulsatile mass
nausea
vomiting
splenic infarction may occur due to thrombosis
risk factors and predisposing conditions for a splenic artery aneurysm:
female
pregnancy → most common cause
atherosclerosis
portal HTN
connective tissue disorders
vasculitis
trauma → pseudoaneurysm
differential diagnoses for a splenic artery aneurysm include:
splenic lymphoma
splenic complex cyst
splenic hamartoma
splenic hemangioma
splenic abscess
what is the gold standard method of testing if a splenic artery aneurysm is suspected?
contract angiography