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Splenic artery aneurysm with the double-rupture phenomenon
Jung Ho Kim1, Han Sol Chung1, Jong Ha Kim1
1Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Clinical and Experimental Emergency Medicine
|July 19, 2017
Summary
Splenic artery aneurysms are rare but can be critical if they rupture. This case highlights the "double-rupture" phenomenon, where delayed bleeding requires urgent surgical intervention for abdominal aneurysms.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Emergency Medicine
Background:
- Splenic artery aneurysm (SAA) is the third most common intra-abdominal aneurysm, with varying prevalence.
- Most SAAs are asymptomatic and found incidentally, not requiring intervention.
- Ruptured SAAs, though rare, pose a critical threat to patient survival.
Purpose of the Study:
- To report a case of splenic artery aneurysm presenting with delayed hemoperitoneum.
- To emphasize the importance of recognizing the "double-rupture" phenomenon in SAA management.
- To inform emergency physicians about this critical diagnostic consideration.
Main Methods:
- Case report of a patient with splenic artery aneurysm.
- Clinical presentation, diagnostic findings, and management described.
- Discussion of the delayed intraperitoneal bleeding (double-rupture) phenomenon.
Main Results:
- Patient presented with left flank and shoulder pain due to splenic hematomas.
- Delayed hemoperitoneum occurred two days after admission.
- Surgical management was required due to intraperitoneal bleeding.
Conclusions:
- The double-rupture phenomenon can occur in splenic artery aneurysms, leading to delayed intraperitoneal bleeding.
- Emergency physicians must consider this phenomenon in patients with suspected SAA.
- Prompt recognition and surgical intervention are crucial for managing ruptured SAAs.
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