Spontaneous Rupture of Splenic Artery Aneurysm.

Abstract

Splenic artery aneurysms are rare and usually asymptomatic, with a high risk of mortality once they get ruptured. A case report of a spontaneous rupture of a splenic artery aneurysm in a 65-year-old female is reported. The patient presented in the emergency department with abdominal pain, nausea, and vomiting, followed by syncope. A contrast-enhanced CT scan was performed and showed a splenic artery aneurysm measuring 40 ×35 mm surrounded by a hematoma. The patient was submitted to emergency laparotomy with ligation of the splenic artery, aneurysm resection, and splenectomy.There were no surgical complications, and the patientwas discharged home on the fifthpostoperative day. A rupture of a splenic aneurysm is a rare condition with a high mortality rate and should be considereda differential diagnosis in a patient with abdominal pain and hemodynamic instability.