05 January 2026
: Case report 
A 67-Year-Old Man With Hypertension Presenting With Spontaneous Rupture of a Large Splenic Artery Aneurysm Associated With Thrombus
Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care
Rakia Siala A 1, Mohamed Ali Mseddi
ABCDEF 1*, Chaima Yakoubi A 1, Alia Zehani B 2, Hajer Hassine A 3, Meriem Hsairi A 1, Rami Guizani A 1, Hela Kchir A 3, Karim Sassi A 1, Mohamed Ben Slima A 1
DOI: 10.12659/AJCR.950099
Am J Case Rep 2026; 27:e950099
Figure 1 Contrast-enhanced abdominal computed tomography demonstrates a well-defined, saccular aneurysmal dilatation arising from the splenic artery, measuring approximately 10 cm. The aneurysm shows a totally thrombosed lumen, with the patent enhancing portion visible peripherally and a central non-enhancing thrombus. The sac is outlined by a thin wall, with evidence of rupture demonstrated by hemoperitoneum and retroperitoneal hemorrhage, although no active extravasation is seen. The red arrow indicates the thrombosed segment within the aneurysm.