Pararas Nikolaos, Rajendiran Saravanan, Taha Imad, Powar Rahul Ramachandra, Holguera Carlos, Tadros Ezzat
Department of Surgery, Dr. Sulaiman Al Habib Hospitals, Riyadh, Saudi Arabia.
Department of Radiology, Dr. Sulaiman Al Habib Hospitals, Riyadh, Saudi Arabia.
Am J Case Rep. 2020 Jan 25;21:e919956. doi: 10.12659/AJCR.919956.
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.
脾动脉瘤在健康年轻男性患者中并不常见。一旦自发破裂，可迅速危及生命。我们的目的是强调健康年轻患者中脾动脉瘤的可能性及其表现为反复腹痛，同时在可能破裂之前，这可能带来诊断挑战。脾动脉瘤的罕见发生和自发破裂在非住院环境中往往是致命的。病例报告：在此，我们报告一例32岁患者，因反复上腹部疼痛就诊于急诊科。在住院评估期间，脾动脉瘤自发破裂，出现低血容量性休克和双重破裂现象，需要紧急手术。结论：近年来随着现代影像学的发展，脾动脉瘤的发病率增加了7倍；因此，了解这一情况并在鉴别诊断中加以考虑可能会提供一个机会窗口并挽救生命。
