PMC3198607_01
Angiography demonstrates aneurysm in the splenic artery with dilated tortuous vessel around suggestive of portal hypertension.
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fig1
Doppler study was suggestive of extrahepatic portal vein obstruction (EHPVO) with splenic artery aneurysm and multiple perisplenic, gastric, and perioesophageal collaterals and documenting portal cavernoma with hepatofugal flow (Figure 1).
Showing giant aneurysm of splenic artery with splenomegaly.
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fig2
On laparotomy a normal appearing liver, no ascites, and a 8 x 10 centimeters aneurysm arising from splenic artery, involving middle and distal two-thirds of an artery and an enlarged spleen were observed (Figure 2).
Showing lumen of giant splenic artery aneurysm.
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fig3
Aneurysmectomy with splenectomy was done (Figure 3).