Sarikaya Sezgin, Ekci Baki, Aktas Can, Cetin Asli, Ay Didem, Demirag Alp
Yeditepe University Hospital, Department of Emergency Medicine, Devlet Yolu Ankara Cad 102/104, Kozyataği/Istanbul, Turkey.
Cases J. 2009 Oct 5;2:148. doi: 10.1186/1757-1626-2-148.
Splenic artery aneurysms (SAA) are uncommon but the most common visceral artery aneurysm. Splenic artery aneurysms are important to recognize because up to 25% may be complicated by rupture and the mortality rate after rupture is between 25% and 70%.
We present a patient who have abdominal pain. Previously healthy 22-year-old female admitted to emergency department with abdominal pain. Her physical examination reveals only left upper quadrant tenderness. Suddenly she developed hypovolemic shock. On emergent laparotomy massive blood collection within peritoneal cavity and retroperitoneal space at the left upper quadrant was detected. The source of bleeding was evident as rupture of splenic artery aneurysm. Splenectomy was performed following the ligation of splenic artery proximal to lesion. On the tenth day she was discharged from the hospital with complete recovery.
It is important to remember rupture of splenic artery aneurysm in patients with abdominal pain and hypovolemic shock status.
脾动脉瘤（SAA）并不常见，但却是最常见的内脏动脉瘤。认识脾动脉瘤很重要，因为高达25%的脾动脉瘤可能会并发破裂，破裂后的死亡率在25%至70%之间。
我们介绍一位有腹痛症状的患者。一名此前健康的22岁女性因腹痛入住急诊科。她的体格检查仅显示左上腹压痛。突然，她出现了低血容量性休克。在急诊剖腹手术中，发现腹腔和左上腹腹膜后间隙有大量积血。出血源明显是脾动脉瘤破裂。在病变近端结扎脾动脉后进行了脾切除术。术后第十天，她完全康复出院。
对于有腹痛和低血容量性休克的患者，记住脾动脉瘤破裂这一情况很重要。
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