Aneurysms of the splanchnic region

Splanchnic artery aneurysms. The management of 16 patients, presenting with splanchnic artery aneurysms is reviewed in a retrospective study. 5 patients presented with aneurysms of the hepatic arteries, 6 patients had an aneurysm of the splenic artery and 5 patients developed aneurysms of the remaining branches of the splanchnic arteries (1 gastroduodenal, 3 pancreaticoduodenal and 1 superior mesenteric), 8 patients were treated conservatively. 8 patients had a surgical procedure performed. Two patients died from a complication of their aneurysm. Ligation of the hepatic artery, was insufficient to avoid a recurrent and fatal hemobilia in a man presenting, with a centrally located intrahepatic ruptured aneurysm. Another patient developed a fatal necrohemorrhagic pancreatitis after ligation of the splenic artery for an aneurysm that ruptured in the stomach.