Ruptured aneurysm of the splenic artery: a rare cause of abdominal pain after blunt trauma. 2013

Jalalludin Khoshnevis, and Saran Lotfollahzadeh, and Mohammad Reza Sobhiyeh, and Hossein Najd Sepas, and Masomah Abbas Nejad, and Ali Rahbari, and Nazanin Behnaz, and Zeinab Mahdi
Department of Vascular Surgery, Shahid Beheshti University of Medical Sciences and Health Services, Shohadaye Tajrish Hospital, Tehran, IR Iran.

BACKGROUND Splenic artery aneurysms (SAAs) are rare (0.2-10.4%); however, they are the most common form of visceral artery aneurysms. Splenic artery aneurysms are important to identify, because up to 25% of the cases are complicated by rupture. Post- rupture mortality rate is 25% -70% based on the underlying cause. Herein we present a young patient with abdominal pain after blunt abdominal trauma due to rupture of an SAA. METHODS A 27-year-old male, without a remarkable medical history, who suffered from abdominal pain for 2 days after falling was admitted to the emergency department with hypovolemic shock. Upon performing emergency laparotomy a ruptured splenic artery aneurysm was found. CONCLUSIONS It is important to consider rupture of a splenic artery aneurysm in patients with abdominal pain and hypovolemic shock.

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