Emergent open distal pancreatosplenectomy-symptomatic giant splenic artery aneurysm: a case report

Splenic-artery aneurysms (SAAs) are rare but potentially life-threatening vascular lesions with a high risk of rupture, especially when symptomatic or thrombosed. Timely diagnosis and appropriate intervention are essential to prevent fatal haemorrhagic events. This case report details the management of a 60-year-old male with a giant SSA, emphasizing the necessity of urgent surgical intervention and the advantages of an open approach for rapid vascular and haemorrhage control. The patient presented with progressive upper abdominal discomfort. Computer tomography revealed a 10 × 10 cm thrombosed SAA compressing the pancreatic tail. Due to high rupture risk, open distal pancreatosplenectomy was performed. Postoperatively, the patient remained haemodynamically stable without complications or need for re-intervention. This case demonstrates the critical importance of open surgery in managing giant SAAs, offering direct vascular access and effective bleeding control. Early diagnosis and prompt surgical intervention are paramount in managing symptomatic SSA.