Splenic artery aneurysm rupture: a case report

Abstract

Splenic artery aneurysm SAA is the most common type of intraabdominal aneurysm after aortic and iliac artery aneurysm Visceral artery aneurysms are seen rarely but they are fatal SAA constitute more than half of all visceral artery aneurysms that are seen The splenic artery aneurysm is four times more common in women than in men and in the majority of women is discovered during gestation period Our aim in this case report is to improve clinicians awareness of spontaneous SAA rupture in pregnancy which is rare but fatal and may help to reduce maternal and infant mortality rates In the story of our case it is stated that a year old month old pregnant woman fell ill at home collapsed and wanted to be taken to the hospital by her husband informed to the emergency service by phone and died when taken to the hospital For autopsy she rsquo s taken to the Forensic Medicine Institution Adana Group Presidency Morgue At the autopsy it rsquo s observed that the area between the pancreas the spleen and the stomach had condensed hematoma It rsquo s detected that splenic artery aneurysm was ruptured in the tail of the pancreas The cause of death was reported as hematocele due to rupture of the splenic artery aneurysm Examination of pregnant women with risk factors such as existing collagen tissue diseases liver diseases in terms of SAA would be beneficial in reducing maternal and fetal mortality In addition since splenic artery aneurysms incidentally caught in pregnant women are more likely to have rupture it is necessary to apply the necessary treatment regardless of the diameter of the aneurysm