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Intraabdominal Vasculature

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Acute Care Surgery

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Abstract

While undergoing an emergency exploratory laparotomy for management of a perforated sigmoid colon and perforated diverticulum, a 62-year-old patient was discovered to have a 5-cm splenic artery aneurysm. The patient’s comorbidities include diabetes mellitus, chronic obstructive pulmonary disease, and coronary artery disease angioplasty and stent placement x3 performed 10 months ago. Which of the following is the most prudent management approach for the splenic artery aneurysm?

  1. (A)

    Construction of a bypass graft

  2. (B)

    Resection of the aneurysm and splenectomy at the time of the operation

  3. [(C)

    Postoperative placement of an endovascular stent

  4. (D)

    Aneurysmectomy only

  5. (E)

    Expectant management

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Authors and Affiliations

  1. Department of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA

    George H. Meier III MD

  2. Department of Surgery, Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA

    Hosam F. El Sayed MD, PhD

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  1. George H. Meier III MD
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  2. Hosam F. El Sayed MD, PhD
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Editors and Affiliations

  1. Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA

    L. D. Britt MD, MPH (Brickhouse Professor of Surgery and Chairman) (Brickhouse Professor of Surgery and Chairman)

  2. Department of Surgery, Oregon Health Sciences University, Portland, OR, USA

    Donald D. Trunkey MD (Professor) (Professor)

  3. Emory University School of Medicine, Grady Memorial Hospital, Atlanta, GA, USA

    David V. Feliciano MD (Professor of Surgery, Chief of Surgery) (Professor of Surgery, Chief of Surgery)

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Meier, G.H., El Sayed, H.F. (2007). Intraabdominal Vasculature. In: Britt, L.D., Trunkey, D.D., Feliciano, D.V. (eds) Acute Care Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-69012-4_34

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