Spontaneous Rupture of Splenic Artery Aneurysm.
Márcia Carvalho1, João Mendes1, Juliana Pereira-Macedo1
1Surgery, Centro Hospitalar do Médio Ave, Santo Tirso, PRT.
Cureus
|January 22, 2024
Summary
Ruptured splenic artery aneurysms are rare but life-threatening emergencies. Prompt diagnosis and surgical intervention are crucial for patient survival in cases of spontaneous splenic artery aneurysm rupture.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Emergency Medicine
Background:
- Splenic artery aneurysms (SAAs) are uncommon vascular anomalies.
- Ruptured SAAs carry a high mortality rate and present as surgical emergencies.
Observation:
- A 65-year-old female presented with acute abdominal pain, nausea, vomiting, and syncope.
- Contrast-enhanced CT revealed a 40x35 mm splenic artery aneurysm with surrounding hematoma.
Findings:
- Emergency laparotomy was performed for aneurysm resection and splenic artery ligation.
- The patient underwent splenectomy with no postoperative complications.
Implications:
- Splenic artery aneurysm rupture is a rare but critical diagnosis in patients with hemodynamic instability.
- Timely surgical management is essential for favorable outcomes in ruptured SAA cases.
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