Turkish Journal of Pediatric Surgery

Mehmet Emin Çelikkaya1, Ahmet Atıcı1, İnan Korkmaz2, Ayça Seyfettin3, Cigdem Ersoy4, Bülent Akçora1

1Hatay Mustafa Kemal University, Department of Pediatric Surgery, Hatay
2Hatay Mustafa Kemal University, Department of Radiology, Hatay
3Osmaniye State Hospital, Osmaniye
4Hatay Mustafa Kemal University, Medical Faculty, Hatay

Keywords: Aneurysm, child, rupture, imaging


Splenic artery aneurysm, although rare, is the third most common intraabdominal aneurysm and follows aortic and iliac artery aneurysms. Although the prevalence of splenic artery aneurysm in the general population is not known clearly, studies show that splenic artery aneurysms occur in 1-10% of health individuals and the incidence increases with age. The importance of splenic arteryaneurysm is the potential rupture and life-threatening bleeding risk of 10-25% in non-pregnant patients and up to 70% in pregnancy. There are few reports on the incidence and rupture of splenic artery aneurysms in children. Pediatric arterial aneurysms are rare and underlying processes are frequently associated with liver failure, infection, connective tissue diseases, non-infectious arteritis, and congenital malformations. Early detection of splenic artery aneurysms is important because of the spontaneous rupture and life-threatening bleeding. Splenic artery aneurysms, although rarely seen in pediatric patients, are a serious life-threatening condition in case of rupture and can occurarious reasons. Children with hepatic insufficiency should be monitored closelydue to the possibility of rupture and inability to apply elective treatment methods in case of delay, and it should be kept in mind in the differential diagnosis of hypovolemic children admitted to the emergency department with abdominal pain. Here, a cesepresenting with spontaneous rupture of splenic artery aneurysm and imaging findings and treatment options of splenic artery aneurysm will be discussed.

Cite as: Çelikkaya ME, Atıcı A, Korkmaz İ, Seyfettin A, Ersoy C, Akçora B. Splenic Artery Aneurysm Rupture in Children: Imaging findings and treatment protocols. Coc Cer Derg/Turkish J Ped Surg 2022;36(1): 50-54. doi: 10.29228/JTAPS.53682