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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2015; 7(5): 78-81
Published online May 27, 2015. doi: 10.4240/wjgs.v7.i5.78
Published online May 27, 2015. doi: 10.4240/wjgs.v7.i5.78
Pancreatectomy and splenectomy for a splenic aneurysm associated with segmental arterial mediolysis
Yasuhiro Matsuda, Kazuki Sakamoto, Naoki Kataoka, Tomoyuki Yamaguchi, Masafumi Tomita, Shinichiro Makimoto, Department of Surgery, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan
Eisei Nishino, Department of Pathology, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan
Arito Kazi, Masahiro Shinozaki, Department of Emergency and Critical Care Medical Center, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan
Author contributions: Matsuda Y, Sakamoto K and Nishino E designed the report and wrote the paper; Kataoka N, Yamaguchi T, Tomita M, Kazi A, Shinozaki M and Makimoto S provided treatment.
Supported by The Department of Surgery, Kishiwada Tokushukai Hospital, Osaka, Japan.
Ethics approval: The study was reviewed and approved by the Institutional Review Board of Kishiwada Tokushukai Hospital for ethical issues.
Informed consent: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest: We certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yasuhiro Matsuda, MD, Department of Surgery, Kishiwada Tokushukai Hospital, 4-27-1 Kamori-chou, Kishiwada City, Osaka 596-8522, Japan. my-salsa@air.ocn.ne.jp
Telephone: +81-72-4459915 Fax: +81-72-4459791
Received: September 2, 2014
Peer-review started: September 4, 2014
First decision: February 7, 2015
Revised: February 23, 2015
Accepted: March 16, 2015
Article in press: March 18, 2015
Published online: May 27, 2015
Processing time: 258 Days and 0.2 Hours
Peer-review started: September 4, 2014
First decision: February 7, 2015
Revised: February 23, 2015
Accepted: March 16, 2015
Article in press: March 18, 2015
Published online: May 27, 2015
Processing time: 258 Days and 0.2 Hours
Core Tip
Core tip: Segmental arterial mediolysis (SAM) related to intra-abdominal, retroperitoneal bleeding or bowel ischemia has a mortality approaching 25%-50%. We treated the splenic artery aneurismal re-rupture associated with SAM after trans-catheter arterial embolization with a distal pancreatomy and splenectomy. We recommend close follow-ups and prompt radiological or surgical intervention because SAM can increase rapidly and rupture.