Khoshnevis Jalalludin, Lotfollahzadeh Saran, Sobhiyeh Mohammad Reza, Najd Sepas Hossein, Abbas Nejad Masomah, Rahbari Ali, Behnaz Nazanin, Mahdi Zeinab
Department of Vascular Surgery, Shahid Beheshti University of Medical Sciences and Health Services, Shohadaye Tajrish Hospital, Tehran, IR Iran.
Department of Pathology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Trauma Mon. 2013 Spring;18(1):46-9. doi: 10.5812/traumamon.8271. Epub 2013 May 26.
Splenic artery aneurysms (SAAs) are rare (0.2-10.4%); however, they are the most common form of visceral artery aneurysms. Splenic artery aneurysms are important to identify, because up to 25% of the cases are complicated by rupture. Post- rupture mortality rate is 25% -70% based on the underlying cause. Herein we present a young patient with abdominal pain after blunt abdominal trauma due to rupture of an SAA.
A 27-year-old male, without a remarkable medical history, who suffered from abdominal pain for 2 days after falling was admitted to the emergency department with hypovolemic shock. Upon performing emergency laparotomy a ruptured splenic artery aneurysm was found.
It is important to consider rupture of a splenic artery aneurysm in patients with abdominal pain and hypovolemic shock.