%0 Case Reports
%T A Rare Incidence of Splenic Artery Aneurysm and Hypersplenism.
%A M Azmi N
%A Safri LS
%A Abdul Rahman N
%A Dualim DM
%A Chandrakanthan S
%J Cureus
%V 16
%N 2
%D 2024 Feb
%M 38371434
暂无%R 10.7759/cureus.54280
%X A 31-year-old woman with Child's B liver cirrhosis with portal hypertension and splenomegaly presented with a one-month history of abdominal pain. A physical examination confirmed splenomegaly. A blood investigation revealed a low white blood cell (WBC) and platelet count. Computed tomography (CT) revealed a splenic artery aneurysm at the distal splenic artery measuring 3.4 x 3.4 x 4.3 cm (AP x W x CC) with thrombus and splenic infarction. A successful angiographic embolisation was performed without immediate complications. The abdominal pain symptoms resolved, leading to the patient's discharge from the ward on the third day post-embolisation. Follow-up at the surgical outpatient clinic indicated the patient remained asymptomatic, and repeated blood counts showed improvement in both WBC and platelet counts. Furthermore, follow-up CT scans demonstrated a reduction in spleen size, indicating positive outcomes and a favourable response to the intervention.