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Dr. German
Dr. German, Doctor (MD)
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Experience:  MD
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Is a calcified splenic artery aneurysm dangerous?

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How dangerous is a calcified splenic artery aneurysm? What should be done about it?

Welcome and thanks for your question,

With splenic aneurysm the risk of rupture is about 3-10 % specially in patients with liver disease, liver transplantation or pregnant women. These aneurysms could be completely asymptomatic or produce variable symptoms like abdominal pain, upper back pain, nausea or vomiting. They could be dangerous, if they are extremely enlarged (specially 1.5 cm or larger) with a greater tendency to bleed and produce hypovolemic shock (with a great loss of blood).

However, if they are small under 1.5 cm, the risk of rupture is minimal and surgery will not be necessary. What I would suggest you would be consulting a vascular surgeon who could evaluate you and determine if you will need surgery or not. Doctors could perform open or laparoscopic surgery to repair the aneurysm through embolization or stent graft implant.

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