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

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 pe...

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Bibliographic Details
Published in:The American journal of case reports 2020-01, Vol.21, p.e919956-e919956
Main Authors: Pararas, Nikolaos, Rajendiran, Saravanan, Taha, Imad, Powar, Rahul Ramachandra, Holguera, Carlos, Tadros, Ezzat
Format: Article
Language:English
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Summary: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.
ISSN:1941-5923
1941-5923
DOI:10.12659/AJCR.919956