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25 January 2020 : Case report  Saudi Arabia

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

Unknown etiology, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care

Nikolaos Pararas1ABDE*, Saravanan Rajendiran1BCDEF, Imad Taha1DEF, Rahul Ramachandra Powar1BF, Carlos Holguera2CDF, Ezzat Tadros1DEF

DOI: 10.12659/AJCR.919956

Am J Case Rep 2020; 21:e919956

Abstract

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.

Keywords: Aneurysm, Ruptured, Diagnosis, Differential, Splenectomy, Splenic Artery, Abdominal Pain, Pancreatectomy, Rupture, Spontaneous, Tomography, X-Ray Computed

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923