Hilar Spleen Artery Aneurysm—a Strong Indication for Laparoscopic Splenectomy: a Case Report and Literature Review

Abstract

Spleen artery aneurysm represents the most common visceral aneurysm and the third most common splanchnic aneurysm. Most patients have no symptoms and are diagnosed as a part of other diagnostic focuses and examinations. In our study, we present a patient who, due to a spleen artery aneurysm localized in the spleen hilum, underwent laparoscopic splenectomy safely and effectively, without complications, with the use of hem-o-lok clips as a hemostatic technique for vascular elements of the spleen hilum. Our cases show that in addition to numerous advantages of the minimally invasive approach, there is the possibility to improve the laparoscopic technique in terms of safety and economic reasons by using hem-o-lok clips as a hemostatic technique for the vascular elements of the spleen hilum. © 2020, Association of Surgeons of India.