Dr. Rahul Goel
General Practitioner
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Patient's Query
Hi doctor,
A year ago, I was told that I have a 1.5 cm splenic aneurysm after a CT scan. This week I had an MRI with and without contrast. The report was 4.2 fusiform aneurysm dilation of splenic artery, 4.6 mm x 6.5 mm splenic saccular aneurysm and minimal mural thrombus. Calcified wall with 3.8 mm renal fusiform aneurysm. Until I see a vascular MD, I would like to know the treatment for this. Also, a summary is appreciated. I am a 69 year old female. There is a history of lupus and high blood pressure. I am currently on Lipitor, Topral and Beinicar.
Thank you.
Hi,
Welcome to icliniq.com.
Splenic artery supplies blood to the spleen and it may become dilated over a small portion leading to aneurysm formation. Generally, small splenic aneurysms do not need any treatment but those of more than 2 cm should be treated. The treatment options are open technique and endovascular technique. In the open technique, the abdomen is opened, the splenic artery identified and the aneurysm is then operated upon. This technique involves a major surgery and is less preferred. In endovascular technique, a catheter is placed in the artery of the arm or leg. Under x-ray guidance (fluoroscopy), it is pushed into the splenic artery and a metallic coil is placed in the aneurysm. This is a safer and more preferred technique.
Patient's Query
Hi doctor,
Thank you for the reply,
Based on the numbers from my MRI, what treatment is recommended? Do you have any comments about the renal aneurysm?
Hi,
Welcome back to icliniq.com.
The endovascular technique should be appropriate in your case. The renal aneurysm can be tackled in the same sitting endovascularly.
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General Practitioner
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