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Splanchnic Vessel AneurysmsSplanchnic Vessel Aneurysms ::
Ultrasound FindingsUltrasound Findings
in Combining with MSCT 64...
Splanchnic Artery AneurysmsSplanchnic Artery Aneurysms
Shabana F. PashaShabana F. Pasha,, Peter GloviczkiPeter Gloviczki,,...
Splanchnic Artery AneurysmsSplanchnic Artery Aneurysms
Shabana F. PashaShabana F. Pasha,, Peter GloviczkiPeter Gloviczki,,...
Splanchnic Artery AneurysmsSplanchnic Artery Aneurysms
Shabana F. PashaShabana F. Pasha, Peter Gloviczki, Anthony W. Stans...
Splanchnic Artery AneurysmsSplanchnic Artery Aneurysms
Shabana F. PashaShabana F. Pasha, Peter Gloviczki, Anthony W. Stans...
Distribution of splanchnic artery aneurysms (AA).
Pasha S F et al. Mayo Clin Proc. 2007;82:472-479
© 2007 Mayo Foundation ...
Purpose:Purpose:
Splanchnic vessel aneurysms are rare conditions andSplanchnic vessel aneurysms are rare conditions and
po...
ObjectivesObjectives::
Having by chance some asymptomatic aneurysms ofHaving by chance some asymptomatic aneurysms of
hepa...
Hepatic Artery AneurysmHepatic Artery Aneurysm
Post endoscopic cholecystectomy for
one month, a 44yo female patient got
he...
Hepatic Artery AneurysmHepatic Artery Aneurysm
Gastroepiploic Artery AneurysmGastroepiploic Artery Aneurysm
Having turbulent flow, a #26x27x30mm gastroepiploic artery an...
Gastroepiploic Artery AneurysmGastroepiploic Artery Aneurysm
Coeliac trunk aneurysm with turbulent flow.
CELIAC ARTERY ANEURYSM
CELIAC ARTERY ANEURYSM
CELIAC ARTERY ANEURYSM
EXTRAHEPATIC PORTAL VEIN ANEURYSMEXTRAHEPATIC PORTAL VEIN ANEURYSM
Superior Mesenteric Artery AneurysmSuperior Mesenteric Artery Aneurysm
Aneurysm of SMA # 53mm with turbulent flow.
Superior Mesenteric Artery AneurysmSuperior Mesenteric Artery Aneurysm
Left Portal Vein AneurysmLeft Portal Vein Aneurysm
Left branch of portal vein : a venous aneurysm # 26x29x27mm, thin
wall ...
Left Portal Vein AneurysmLeft Portal Vein Aneurysm
Splenic Vein AneurysmSplenic Vein Aneurysm
Cystic lesion #45x39mm, yinyang sign (+), venous spectral pattern
nearby the sp...
Splenic Vein AneurysmSplenic Vein Aneurysm
Intrarenal Artery AneurysmIntrarenal Artery Aneurysm
Intrarenal cystic lesion # 25mm with arterial spectral pattern.
Intrarenal Artery AneurysmIntrarenal Artery Aneurysm
Discussions:Discussions:
Ultrasound B-mode in some cases could notUltrasound B-mode in some cases could not
characterize c...
Discussions (cont.):Discussions (cont.):
Meanwhile with MSCT Angiography theMeanwhile with MSCT Angiography the
characteri...
Conclusions:Conclusions:
Color ultrasound could be the screeningColor ultrasound could be the screening
method to detect e...
Splanchnic Vessel Aneurysms in Vietnam
Splanchnic Vessel Aneurysms in Vietnam
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Some cases on splanchnic vessel aneurysm detected first by ultrasound and confirmed later via MDCT 64. Color ultrasound could reveal abdominal vessel aneurysm but was difficult for B-mode ultrasound.

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Splanchnic Vessel Aneurysms in Vietnam

  1. 1. Splanchnic Vessel AneurysmsSplanchnic Vessel Aneurysms :: Ultrasound FindingsUltrasound Findings in Combining with MSCT 64in Combining with MSCT 64 in Vietnamin Vietnam.. Nguyen Thien HungNguyen Thien Hung - Le van Tai - Le Thanh Liem- Le van Tai - Le Thanh Liem - Nguyen Vinh Thinh – Tran Minh Dung - Phan Thanh Hai- Nguyen Vinh Thinh – Tran Minh Dung - Phan Thanh Hai Medic Medical Center, Ho Chi Minh City,Medic Medical Center, Ho Chi Minh City, Vietnam.Vietnam.
  2. 2. Splanchnic Artery AneurysmsSplanchnic Artery Aneurysms Shabana F. PashaShabana F. Pasha,, Peter GloviczkiPeter Gloviczki,, Anthony W. StansonAnthony W. Stanson,, Patrick S. KamathPatrick S. Kamath AbstractAbstract  Autopsy : splanchnic artery aneurysms moreAutopsy : splanchnic artery aneurysms more frequent than abdominal aortic aneurysms.frequent than abdominal aortic aneurysms.  Important to recognize = up to 25% may beImportant to recognize = up to 25% may be ruptured, (mortality rate after rupture = 25% andruptured, (mortality rate after rupture = 25% and 70%).70%).  However, little is known about the natural historyHowever, little is known about the natural history and clinical presentation of splanchnic arteryand clinical presentation of splanchnic artery aneurysms.aneurysms.
  3. 3. Splanchnic Artery AneurysmsSplanchnic Artery Aneurysms Shabana F. PashaShabana F. Pasha,, Peter GloviczkiPeter Gloviczki,, Anthony W. StansonAnthony W. Stanson,, Patrick S. KamathPatrick S. Kamath  Splenic artery aneurysms are the most common;Splenic artery aneurysms are the most common; multiple aneurysms = 1/3 of patients.multiple aneurysms = 1/3 of patients.  Hepatic artery pseudoaneurysms are moreHepatic artery pseudoaneurysms are more common than true aneurysmscommon than true aneurysms because of increasing numbers of hepatobiliarybecause of increasing numbers of hepatobiliary interventional procedures.interventional procedures.
  4. 4. Splanchnic Artery AneurysmsSplanchnic Artery Aneurysms Shabana F. PashaShabana F. Pasha, Peter Gloviczki, Anthony W. Stanson,, Peter Gloviczki, Anthony W. Stanson, Patrick S. KamathPatrick S. Kamath The diagnosis of splanchnic artery aneurysm should beThe diagnosis of splanchnic artery aneurysm should be considered inconsidered in  any patient with abdominal pain,any patient with abdominal pain,  a pulsatile mass,a pulsatile mass,  or an abdominal bruitor an abdominal bruit  with or without associated bleeding.with or without associated bleeding. However, most aneurysms are asymptomaticHowever, most aneurysms are asymptomatic and are detected incidentallyand are detected incidentally on imaging studies.on imaging studies.
  5. 5. Splanchnic Artery AneurysmsSplanchnic Artery Aneurysms Shabana F. PashaShabana F. Pasha, Peter Gloviczki, Anthony W. Stanson,, Peter Gloviczki, Anthony W. Stanson, Patrick S. KamathPatrick S. Kamath Treatment, which can be either surgical or interventional radiology-Treatment, which can be either surgical or interventional radiology- based, should be considered inbased, should be considered in  all patients with symptoms related to the aneurysms,all patients with symptoms related to the aneurysms,  if the aneurysm is more than 2 cm in diameter,if the aneurysm is more than 2 cm in diameter,  if the patient is pregnant,if the patient is pregnant,  or if there is demonstrated growth of the aneurysm.or if there is demonstrated growth of the aneurysm. ---------------------------------------------------------------- Source: Mayo Clin Proc. 2007;82:472-479.Source: Mayo Clin Proc. 2007;82:472-479.
  6. 6. Distribution of splanchnic artery aneurysms (AA). Pasha S F et al. Mayo Clin Proc. 2007;82:472-479 © 2007 Mayo Foundation for Medical Education and Research
  7. 7. Purpose:Purpose: Splanchnic vessel aneurysms are rare conditions andSplanchnic vessel aneurysms are rare conditions and possible having severe complications: rupture,possible having severe complications: rupture, thrombus, organ ischemia, but could be disclosed inthrombus, organ ischemia, but could be disclosed in their asymptomatic status by some modalities oftheir asymptomatic status by some modalities of diagnostic imaging : Doppler ultrasound and multislicediagnostic imaging : Doppler ultrasound and multislice CT (MSCT).CT (MSCT). Our report aims to evaluate the abilities of ultrasoundOur report aims to evaluate the abilities of ultrasound in detecting some splanchnic vessel aneurysms inin detecting some splanchnic vessel aneurysms in routine examination and confirming that by MSCT.routine examination and confirming that by MSCT.
  8. 8. ObjectivesObjectives:: Having by chance some asymptomatic aneurysms ofHaving by chance some asymptomatic aneurysms of hepatic artery (post cholecystectomy),hepatic artery (post cholecystectomy), gastroepiploic artery,gastroepiploic artery, celiac artery,celiac artery, gastroduodenal artery,gastroduodenal artery, portal vein (extrahepatic and intrahepatic),portal vein (extrahepatic and intrahepatic), superior mesenteric artery,superior mesenteric artery, splenic artery and splenic vein,splenic artery and splenic vein, intrarenal artery,intrarenal artery, by ultrasound and confirmed them by MSCT later.by ultrasound and confirmed them by MSCT later. Most of cases were in watched and follow-up studiesMost of cases were in watched and follow-up studies and no one in rupture after discovering.and no one in rupture after discovering.
  9. 9. Hepatic Artery AneurysmHepatic Artery Aneurysm Post endoscopic cholecystectomy for one month, a 44yo female patient got hematemesis and epigastric pain. US revealed an 1cm mass with yingyan sign. MSCT confirmed an hepatic artery aneurysm.
  10. 10. Hepatic Artery AneurysmHepatic Artery Aneurysm
  11. 11. Gastroepiploic Artery AneurysmGastroepiploic Artery Aneurysm Having turbulent flow, a #26x27x30mm gastroepiploic artery aneurysm which was connected a branch of hepatic artery, was nearby superior mesenteric artery.
  12. 12. Gastroepiploic Artery AneurysmGastroepiploic Artery Aneurysm
  13. 13. Coeliac trunk aneurysm with turbulent flow. CELIAC ARTERY ANEURYSM
  14. 14. CELIAC ARTERY ANEURYSM
  15. 15. CELIAC ARTERY ANEURYSM
  16. 16. EXTRAHEPATIC PORTAL VEIN ANEURYSMEXTRAHEPATIC PORTAL VEIN ANEURYSM
  17. 17. Superior Mesenteric Artery AneurysmSuperior Mesenteric Artery Aneurysm Aneurysm of SMA # 53mm with turbulent flow.
  18. 18. Superior Mesenteric Artery AneurysmSuperior Mesenteric Artery Aneurysm
  19. 19. Left Portal Vein AneurysmLeft Portal Vein Aneurysm Left branch of portal vein : a venous aneurysm # 26x29x27mm, thin wall with turbulent spectral flow .
  20. 20. Left Portal Vein AneurysmLeft Portal Vein Aneurysm
  21. 21. Splenic Vein AneurysmSplenic Vein Aneurysm Cystic lesion #45x39mm, yinyang sign (+), venous spectral pattern nearby the spleen hilus.
  22. 22. Splenic Vein AneurysmSplenic Vein Aneurysm
  23. 23. Intrarenal Artery AneurysmIntrarenal Artery Aneurysm Intrarenal cystic lesion # 25mm with arterial spectral pattern.
  24. 24. Intrarenal Artery AneurysmIntrarenal Artery Aneurysm
  25. 25. Discussions:Discussions: Ultrasound B-mode in some cases could notUltrasound B-mode in some cases could not characterize completely the nature of splanchniccharacterize completely the nature of splanchnic aneurysm but could show theaneurysm but could show the vascular wallvascular wall andand dimensionsdimensions.. It was more sensitive to detect splanchnic vesselIt was more sensitive to detect splanchnic vessel aneurysms with color Doppler imaging technique inaneurysms with color Doppler imaging technique in presenting thepresenting the direction of blood flowdirection of blood flow andand turbulencesturbulences..
  26. 26. Discussions (cont.):Discussions (cont.): Meanwhile with MSCT Angiography theMeanwhile with MSCT Angiography the characterization of splanchnic vessel aneurysmscharacterization of splanchnic vessel aneurysms was more perfect and more reliable in their 3Dwas more perfect and more reliable in their 3D reconstruction images.reconstruction images. But color ultrasound could be the first choice toBut color ultrasound could be the first choice to disclose and follow-up splanchnic vesseldisclose and follow-up splanchnic vessel aneurysms in our Vietnam country.aneurysms in our Vietnam country. ..
  27. 27. Conclusions:Conclusions: Color ultrasound could be the screeningColor ultrasound could be the screening method to detect early asymptomaticmethod to detect early asymptomatic splanchnic vessel aneurysms by combining ansplanchnic vessel aneurysms by combining an advanced technique as MSCT, and follow-upadvanced technique as MSCT, and follow-up in Vietnam.in Vietnam.
  • BrandiMartinez2

    Nov. 26, 2021
  • Surgeonsri

    Jan. 12, 2020

Some cases on splanchnic vessel aneurysm detected first by ultrasound and confirmed later via MDCT 64. Color ultrasound could reveal abdominal vessel aneurysm but was difficult for B-mode ultrasound.

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