Ruptured Aneurysm of the Splenic Artery: A Rare Cause of Abdominal Pain after Blunt Trauma

Khoshnevis, Jalalludin; Lotfollahzadeh, Saran; Sobhiyeh, MohammadReza; NajdSepas, Hossein; AbbasNejad, Masomah; Rahbari, Ali; Behnaz, Nazanin; Mahdi, Zeinab

doi:10.5812/traumamon.8271

Ruptured Aneurysm of the Splenic Artery: A Rare Cause of Abdominal Pain after Blunt Trauma

Authors

Jalalludin Khoshnevis

Saran Lotfollahzadeh

MohammadReza Sobhiyeh

Hossein NajdSepas

Masomah AbbasNejad

Ali Rahbari

Nazanin Behnaz

Zeinab Mahdi

10.5812/traumamon.8271

Abstract

Introduction: 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. Case Presentation: 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. Conclusions: It is important to consider rupture of a splenic artery aneurysm in patients with abdominal pain and hypovolemic shock.

Keywords

Splenic Artery

Aneurysm

Abdominal pain

Male