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. 2014;5(10):754-7.
doi: 10.1016/j.ijscr.2014.08.021. Epub 2014 Sep 2.

Ruptured spontaneous splenic artery aneurysm: A case report and review of the literature

Aisha Abdulrahman  1 , Alaa Shabkah  1 , Mazen Hassanain  2 , Murad Aljiffry  3
Affiliations

Ruptured spontaneous splenic artery aneurysm: A case report and review of the literature

Aisha Abdulrahman et al. Int J Surg Case Rep. 2014.

Abstract

Introduction: Splenic artery aneurysm is a rare condition, however, potentially fatal. The importance of splenic artery aneurysm lies in the risk for rupture and life threatening hemorrhage.

Presentation of case: This is a case of a ruptured splenic artery aneurysm in a 58-year-old lady. She presented with hypovolemic shock and intra-peritoneal bleeding. Diagnosis was confirmed by CT angiography and she was managed by operative ligation of the aneurysm with splenectomy and distal pancreatectomy.

Discussion: The literature pointed the presence of some risk factors correlating to the development of splenic artery aneurysm. In this article we discuss a rare case of spontaneous (idiopathic) splenic artery aneurysm and review the literature of this challenging surgical condition.

Conclusion: Splenic artery aneurysm needs prompt diagnosis and management to achieve a favorable outcome, high index of suspicion is needed to make the diagnosis in the absence of known risk factors.

Keywords: Aneurysm; Idiopathic; Rupture; Splenic artery; Spontaneous.

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Figures

Fig. 1
Fig. 1
CT abdomen showing intra peritoneal hematoma.
Fig. 2
Fig. 2
CT abdomen showing splenic artery aneurysm and contrast extravasation.
Fig. 3
Fig. 3
Excised specimen showing the splenic artery (artery clamp through) and the site of the aneurysm rupturing into the pancreas close to the hilum.
See this image and copyright information in PMC

References

    1. Al-Habbal Y., Christophi C., Muralidharan V. Aneurysms of the splenic artery – a review. Surg J R Coll Surg Edinb Irel. 2010;8(4):223–231. - PubMed
    1. Manian U., Badri H., Coyne P., Nice C., Ashour H., Bhattacharya V. Endovascular treatment of a ruptured splenic artery aneurysm using amplatzer ((R)) vascular plug. Int J Biomed Sci: IJBS. 2009;5(1):81–84. - PMC - PubMed
    1. Cordova A.C., Sumpio B.E. Visceral artery aneurysms and pseudoaneurysms-should they all be managed by endovascular techniques? Ann Vasc Dis. 2013;6(4):687–693. - PMC - PubMed
    1. Mees B., Robinson D., Verhagen H., Chuen J. Non-aortic aneurysms – natural history and recommendations for referral and treatment. Austr Fam Physician. 2013;42(6):370–374. - PubMed
    1. Lynch M.J., Woodford N.W. Rupture of a splenic artery aneurysm during pregnancy with maternal and foetal death: a case report. Med Sci Law. 2008;48(4):342–345. - PubMed