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Neuroendocrine tumour cells in the wall of a splenic artery aneurysm
  1. Anders E Henriksson1,
  2. Emanuela Vancea2,
  3. Peter Pitkänen2,
  4. Erik Wilander3,
  5. David Bergqvist4
  1. 1Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden
  2. 2Department of Pathology, Sundsvall Hospital, Sundsvall, Sweden
  3. 3Department of Pathology, Uppsala University Hospital, Uppsala, Sweden
  4. 4Department of Surgery, Uppsala University Hospital, Uppsala, Sweden
  1. Correspondence to:
 Dr A E Henriksson
 Department of Surgery, Sundsvall County Hospital, SE-851 86 Sundsvall, Sweden; anders.henriksson{at}lvn.se

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Neuroendocrine tumours are reported from the alimentary and respiratory tracts. A case of a 57-year-old man with an unsuspected histopathological finding of neuroendocrine tumour cells in the wall of a splenic artery aneurysm is reported.

Visceral artery aneurysms are uncommon but clinically important owing to the risk of rupture and of intra-abdominal bleeding.1 There are several possible aetiologies, atherosclerosis being one, and often the cause is unknown or at least not stated.1 The case of a patient with two visceral artery aneurysms and unsuspected histopathological finding is reported.

CASE REPORT

A 57-year-old man presented with a 24 h history of increasingly severe upper abdominal pain. As an infant, he was operated on for an open Botalli duct. At the age of 20 years, he was conservatively treated for a pyloric ulcer. For the previous 2 years, he had been taking drugs for depression. On admission to hospital, his abdomen was tender with general guarding. A …

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