Giant splenic artery aneurysm rupture.

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Emergency Medicine

Background:

• Splenic artery aneurysms (SAAs) rupture is rare but life-threatening.
• Limited treatment options exist for ruptured SAAs, especially with hemodynamic instability.
• Large perisplenic or peritoneal hematomas complicate management.

Purpose of the Study:

• To describe a successful treatment strategy for a ruptured splenic artery aneurysm.
• To emphasize the importance of rapid bleeding control in cases of SAA rupture.
• To present a combined endovascular and surgical approach for splenectomy.

Main Methods:

• A patient with a ruptured SAA presenting with severe hypotension and a large hematoma.
• Utilized endovascular clamping for initial bleeding control.
• Performed a midline laparotomy for splenectomy.

Main Results:

• Successful control of hemorrhage.
• Hemodynamic stabilization of the patient.
• Complete removal of the ruptured aneurysm and associated hematoma via splenectomy.

Conclusions:

• A combined endovascular and surgical approach can be effective for managing ruptured SAAs.
• This strategy is crucial for patients with hemodynamic instability.
• Prompt intervention is key to managing these critical cases.