Abstract
Abdominal visceral artery aneurysms are relative rare conditions demanding quick and precise treatment. We herein report on 19 cases of abdominal visceral artery aneurysm in 18 patients experienced during the past 10 years, concentrating particularly on the localization of the aneurysms, the therapeutic methods selected and the outcome of the management. The location of the lesions comprised 8 cases of splenic artery, 4 cases of superior mesenteric artery, 2 cases each of hepatic and pancreaticoduodenal artery, and 1 case each of gastroduodenal artery, celiac artery, and a celio-mesenteric anomaly. The therapeutic methods introduced were coil embolization in 11 cases, open laparotomy surgery in 6 cases and laparoscopic surgery in 1 case. The results were satisfactory enough with no severe perioperative complications or operative death. Moreover, no aneurysm was seen to recur during the course of an observation period ranging from 4 months to 8 years and 9 months (mean; 6 years and 5 months). In conclusion, a less invasive procedure such as endovascular surgery should be recommended wherever possible and appropriate, however open laparotomy surgery is also indicated in some cases according to the localization and the type of aneurysm. On the other hand, laparoscopic surgery is the approach of choice for the saccular type aneurysm, because the blood supply can be preserved.
