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Diagnosis of Ruptured, Noncalcified Splenic Artery Aneurysm by Selective Celiac Arteriography

STANLEY BAUM, MD; RAPHAEL H. GREENSTEIN, MD; MOREYE NUSBAUM, MD; WILLIAM S. BLAKEMORE, MD
Arch Surg. 1965;91(6):1026-1028. doi:10.1001/archsurg.1965.01320180160035.
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THE ACTUAL incidence of aneurysm of the splenic artery is difficult to determine. Various authors have given figures ranging from 0% to 0.23% found in large series at autopsy.1 With the increasing size of the population of aged persons, the number of aneurysms will undoubtedly increase.

The diagnosis of a ruptured splenic artery aneurysm is generally made by association of a vascular calcification in the left upper quadrant seen on the plane film of the abdomen with the clinical picture of an abdominal catastrophe. The following case is unusual in that it represents, to the authors' knowledge, the first demonstration of a ruptured, noncalcified, splenic artery aneurysm by means of selective celiac arteriography.

Report of Case  A 59-year-old man was admitted to the Graduate Hospital of the University of Pennsylvania on Feb 1, 1964. The patient was seen in his physician's office shortly before admission and reported an acute

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