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Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock.
Tim Montrief1, Mehruba Anwar Parris2, Jonathan S Auerbach3
1Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, USA.
Cureus
|July 1, 2020
Summary
Spontaneous splenic artery pseudoaneurysm (SAP) rupture is rare but causes acute abdominal pain. Prompt diagnosis and surgical intervention are crucial for managing this emergent condition.
Area of Science:
- Vascular Surgery
- Emergency Medicine
- Radiology
Background:
- Splenic artery pseudoaneurysm (SAP) is an uncommon cause of abdominal pain.
- Ruptured SAPs are a rare but critical emergency.
- Timely diagnosis requires high clinical suspicion.
Observation:
- A case of a male patient presenting with acute abdominal pain due to a ruptured SAP.
- Computed tomography angiography confirmed hemoperitoneum secondary to the ruptured SAP.
- The patient underwent emergency laparotomy, surgical ligation, and splenectomy.
Findings:
- This case highlights a spontaneous splenic artery pseudoaneurysm rupture, a condition with no prior reports in emergency medicine literature.
- SAP rupture is an under-recognized cause of acute abdominal pain.
- Visceral pseudoaneurysms are most frequently SAPs.
Implications:
- Emphasizes the need for a broad differential diagnosis in acute abdominal pain.
- Underscores the critical role of emergency physicians in identifying and managing emergent vascular conditions.
- Reinforces the importance of advanced imaging like CT angiography for diagnosis.
Keywords:
angiographyhemorrhageimagingpseudoaneurysmpseudoaneurysm of splenic arteryretroperitoneumsplenic traumaMore Related Videos
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