Objective:To investigate the methods of diagnosis and treatment of splenic aneurysms(SA).
Methods :Clinical data of 7 SA cases was retrospectively analyzed.
Results:Preoperatively, preliminary diagnosis was made based on type-B ultrasonic scanning in 6 cases, diagnosis was confirmed by CT angiogrophy(CTA) in 4 cases, by digital substraction angiography(DSA) in 2 patients and magnetic resonance angiography(MRA) in 1 case， but no case was confirmed solely by clinical symptoms. Of the 7 cases, 1 underwent splenic aneurysm resection, 1 combined resection of splenic aneurysm and spleen, 1 had resection of splenic aneurysm and reconstruction of splenic artery, 1 ligation of proximal and distal splenic arteries, 2 endovascular embolization, and 1 endovascular embolization and resection of spleen. All patients were followed up for 2 months to 3 years, but no mortality or serious complications were found.
Conclusions:It is difficult to diagnose splenic aneurysm based solely on clinical symptoms, but CTA, MRA and DSA are importtant for diagnosis. B-mode ultrasond is of help for screening. Endovascular embolization or surgical procedure should be employed once the diagnosis is confirmed.