Spontaneous Rupture of a Huge Splenic Artery Aneurysm: A Case Report

Overview

Journal Am J Case Rep

Specialty General Medicine

Date 2020 Jan 26

PMID 31980593

Citations 3

Authors

Nikolaos Pararas

Saravanan Rajendiran

Imad Taha

Rahul Ramachandra Powar

Carlos Holguera

Ezzat Tadros

Affiliations

Soon will be listed here.

Abstract

BACKGROUND Splenic artery aneurysm is uncommon in a healthy young male patient. With spontaneous rupture, it can quickly become life-threatening. Our aim is to highlight the possibility of splenic artery aneurysm among healthy young patients and its presentation as recurrent abdominal pain, while pending rupture is possible, which can present a diagnostic challenge. The rare occurrence and spontaneous rupture of a splenic artery aneurysm are often fatal outside an inpatient setting. CASE REPORT Here, we present the case of a 32-year-old patient who visited the Emergency Department with recurrent epigastric pain. While undergoing inpatient evaluation, had a spontaneous rupture of a splenic artery aneurysm with hypovolemic shock and a double-rupture phenomenon, necessitating emergency surgery. CONCLUSIONS With advances in modern imaging in recent years, the incidence of splenic aneurysm has increased 7-fold; therefore, being informed and considering it in the differential diagnosis might provide a window of opportunity and save lives.

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