Splenic artery aneurysm: an important cause of hemoperitoneum and shock

Abstract

Background: Splenic artery aneurysm ruptures are rare and highly morbid events that are frequently associated with pregnancy. However, approximately 15% may occur in men, and it is important to have this possibility in the differential diagnosis in cases of hemoperitoneum and hemorrhagic shock. Rapid diagnosis and treatment is essential to survival.

Objectives: The aim of this report is to educate emergency physicians on the early recognition and treatment of this life-threatening event and to increase the awareness of this condition in male patients.

Case report: We describe the evaluation and management of two cases of splenic artery rupture in male patients with unique presentations.

Conclusion: Splenic artery aneurysm ruptures should be considered in the differential diagnosis in any patient with undifferentiated shock. Early diagnosis and treatment can save lives.

Keywords: focused assessment with sonography for trauma examination; hemoperitoneum; hemorrhagic shock; splenic artery aneurysm; syncope.