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Post-Pancreatitis Splenic Artery Pseudoaneurysm as a Luring Danger: A Case Report
Daniel Schweckendiek1, Kuno Lehmann2, Vincent Van den Bosch3
1Department of Gastroenterology and Hepatology, University Hospital Zurich, Zürich, Switzerland.
Case Reports in Gastroenterology
|June 18, 2025
Summary
Splenic artery aneurysms (SAAs) are rare, dangerous conditions that can rupture. Prompt management of SAAs detected on CT scans is crucial to prevent life-threatening complications like hemorrhagic shock.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Splenic artery aneurysms (SAAs) are uncommon but pose a significant rupture risk.
- SAAs can develop as pseudoaneurysms after pancreatitis or trauma, or iatrogenically after surgery.
- Symptomatic SAAs require urgent intervention due to high rupture potential.
Purpose of the Study:
- To highlight the unusual presentation of a ruptured splenic artery aneurysm.
- To emphasize the importance of proactive management for splenic artery pseudoaneurysms.
- To underscore the diagnostic challenges and risks associated with SAAs.
Main Methods:
- Case report detailing a patient with a ruptured splenic artery aneurysm.
- Review of diagnostic findings, including CT scan.
- Description of emergency surgical intervention.
Main Results:
- A ruptured splenic artery aneurysm presented initially as acute abdomen, followed by delayed hemorrhagic shock.
- Emergency laparotomy and splenectomy were life-saving.
- CT scan detection of splenic artery pseudoaneurysm indicates elevated rupture risk, regardless of size.
Conclusions:
- Splenic artery pseudoaneurysms require proactive management due to inherent rupture risk.
- Concomitant abdominal conditions can complicate SAA diagnosis and risk assessment.
- Early recognition and intervention are vital for managing potentially fatal SAA cases.
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