Two different clinical prezentations of splenic artery aneurism: a report of two cases

Abstract

Introduction: We aimed to report two cases with spontaneous rupture and left upper quadrant pain, which are two separate clinical forms of splenic artery aneurysm (SAA). Methods: We presented the clinical, radiological, and treatment data of two cases diagnosed with SAA who were admit-ted to the hospital with different clinical presentations. A 62-year-old female patient was seen in the emergency room with complaints of severe abdominal pain, sweating, nausea, and vomiting that started suddenly and spread to the back. Results: Pulse was 120 min-1 and blood pressure was 85/55. Contrast-enhanced abdominal computed tomography (CT) evaluation showed a saccular aneurysm sac about 5 cm in diameter on the posterosuperior wall in the middle part of the splenic artery. Aneurysm excision and splenectomy were performed starting from the proximal of the ruptured splenic aneurysm. A 41-year-old female patient was admitted to our center with left upper quadrant pain for 3 days. There was no history of chronic illness, medication, or smoking. Contrast-enhanced upper abdominal CT reveals an area without contrast enhancement extending from the subcapsular area.Laparoscopic splenectomy was performed on the patient due to infarction and SAA. No pathology was detected in the follow-up of the patients at 1, 6, 12, and 18 months. Discussion and Conclusion: Considering SAA in the differential diagnosis in patients with left upper quadrant pain radiating to the back or in patients presenting with severe abdominal pain with hypotension and appropriate treat-ment after diagnosis is lifesaving.