Montrief Tim, Anwar Parris Mehruba, Auerbach Jonathan S, Scott Jeffrey M, Cabrera Jorge
Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, USA.
Emergency Medicine, Jackson Memorial Hospital, Miami, USA.
Cureus. 2020 May 26;12(5):e8286. doi: 10.7759/cureus.8286.
Splenic artery pseudoaneurysm (SAP) is an uncommon etiology of acute abdominal pain, requiring a high degree of clinical suspicion to diagnose in a timely manner. There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented with acute abdominal pain secondary to an SAP. A computed tomography angiography scan of the abdomen revealed a ruptured SAP with hemoperitoneum. He successfully underwent emergency laparotomy and surgical ligation of his SAP with splenectomy. SAP rupture remains an under-recognized etiology of abdominal pain, even though it is the most frequent type of visceral pseudoaneurysm. Our case herein reinforces the importance of a broad list of differential diagnoses in the patient with acute abdominal pain, as well as the importance of the emergency physician in identifying an emergent condition and then directing the initial stabilization, resuscitation, and management.
脾动脉假性动脉瘤（SAP）是引起急性腹痛的一种罕见病因，需要高度的临床怀疑才能及时诊断。目前急诊医学文献中尚无自发性SAP破裂的报道。我们报告一例因SAP导致急性腹痛的男性病例。腹部计算机断层血管造影扫描显示SAP破裂并伴有腹腔积血。他成功接受了急诊剖腹手术，并通过脾切除术对其SAP进行了手术结扎。尽管SAP破裂是内脏假性动脉瘤最常见的类型，但它仍然是一种未被充分认识的腹痛病因。我们在此报告的病例强化了对急性腹痛患者进行广泛鉴别诊断的重要性，以及急诊医生识别紧急情况并指导初始稳定、复苏和管理的重要性。
