The authors analyze the clinical course of large splenic artery aneurysms (SAA) accidentally identified in two patients. In the first case 4.5×4.0 sm aneurysm was circumstantially discovered while providing the multispiral computer coronary angiography, and it was interpreted as a pancreatic gland cyst. Four years later on the next spiral computer tomography (SCT) provided also under another prescription ASA was found by means of contrast intensifying, and it had reached the size of 5.1×6.3×6.2 sm. In the second patient suffering from hepatic cirrhosis and hospitalized because of esophagogastric bleeding the deforming posterior ventricle wall lump was discovered during the laparotomy and stomach operating exploration. By providing the lump needle punction arterial blood was observed. During the upcoming SCT with contrast intensifying this lump was verified as a saccular SAA sized 7.8×5.7 sm. In both cases the endovascular proximal splenic artery embolization was successfully applied as the treatment.

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http://dx.doi.org/10.17116/hirurgia2018121116DOI Listing

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