[Splenic artery aneurysm. Review of literature and report of 2 clinical cases].

Two cases of successful surgical management of aneurysm of the splenic artery are presented. One aneurysm was of considerable size, while the other was accompanied by haemoperitoneum, owing to spontaneous intrasplenic rupture. The literature is reviewed and the data still quoted in recent publications are updated. Modern views on the origin of this condition, formerly regarded as primarily due to arteriosclerosis, are illustrated. Stress is laid on the part played by repeated pregnancy in the progressive irreversibility of damage to the elastic fibers of the arterial walls. Lastly, an account is given of the clinical and diagnostic aspects of these aneurysms. Surgical management is stated as a personal preference, since the serious general condition of the patient means that it is rarely contraindicated.