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? (A) Construction of a bypass graft (B) Resection of the aneurysm and splenectomy at the time of the operation [(C) Postoperative placement of an endovascular stent (D) Aneurysmectomy only (E) Expectant management
Original language | English (US) |
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Title of host publication | Acute Care Surgery |
Subtitle of host publication | Principles and Practice |
Publisher | Springer New York |
Pages | 524-548 |
Number of pages | 25 |
ISBN (Print) | 0387344705, 9780387344706 |
DOIs | |
State | Published - Dec 1 2007 |
ASJC Scopus subject areas
- Medicine(all)