Spontaneous rupture of the splenic artery aneurysm: a rare clinical presentation of acute abdomen

Spontan splenik arter anevrizma rüptürü: Klinikte nadir görülen bir akut abdomen sebebİ

Mehmet Timuçin AYDIN,Mehmet Mahir FERSAHOĞLU,Sinan TEZER,Mehmet OKUDUCU,Birol AĞCA,Kemal MEMİŞOĞLU

Özet

Acil serviste nadir olarak görülen spontan splenik arter rüptürü ani başlayan akut karın ağrısını olarak ortya çıkabilir ve tanı zamanlı olarak konula-mazsa yüksek mortalite ile seyreder. Karın ağrısı yakınması ile başvuran 33 yaşında erkek hastada akut batın bulguları ile tanı çalışmasında sırasında hipovolemik şoka girdi ve acil aparatomide rüptüre splenik arter anevrizması splenektomi ile kontrol altına alındI

Abstract

Splenic artery aneurysms are very rare causes of acute abdomen but are important to recognize since they carry high rate of mortality when ruptured. The aim of this study was to present a middle aged man with sudden onset of abdominal pain. Being previously on steroid treatment due to sarcoidosis, the patient developed hypovolemic shock during work-up in diagnostic imaging and went on emergency laparatomy. The source was identified as a ruptured splenic artery aneurysm. Splenectomy en bloc with the aneurysmatic distal splenic artery was performed, and he was discharged uneventfully. Despite rare, it is important to recognize splenic artery aneurysm in the emergency department, and immediate intervention is required to save the patient