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Updated: Jan 2, 2026
02:09
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
772
Rupture of splenic artery aneurysm
1Office of the Medical Examiner, Philadelphia, Pennsylvania 19104.
The American Journal of Forensic Medicine and Pathology
|September 1, 1992
Summary
Cocaine use may trigger fatal splenic artery aneurysm ruptures. Forensic toxicology should test for cocaine in such deaths, as it may be a contributing factor.
Area of Science:
- Forensic Pathology
- Toxicology
- Cardiovascular Science
Background:
- Splenic artery aneurysms are rare but can be life-threatening.
- Rupture of these aneurysms can lead to rapid exsanguination and death.
Observation:
- Three fatalities due to splenic artery aneurysm rupture occurred between 1988 and 1991.
- Cocaine was detected in the blood of two of the deceased individuals.
Findings:
- Cocaine use is suspected to have precipitated the splenic artery aneurysm rupture in two cases.
- Toxicologic testing for cocaine is crucial in cases of splenic artery aneurysm rupture.
Implications:
- The presence of cocaine should be considered a contributing factor to death, not merely incidental.
- This finding highlights the importance of comprehensive toxicologic screening in forensic investigations.
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