Ahmad Hosseinzadeh1, Reza Shahriarirad2,3, Vahid Asgharzadeh Majdazar4, Mohammad Moeini Farsani4, Seyed Mohammad Kazem Tadayon5. 1. Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran. 2. Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran. R.shahriari1995@gmail.com. 3. School of medicine, Shiraz University of Medical Science, Shiraz, Iran. R.shahriari1995@gmail.com. 4. Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran. 5. Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract
BACKGROUND: There is currently no information on the anatomical risk factors for splenic artery aneurysm rupture, specifically the location or size of the lesion; therefore, reporting this entity to obtain data and ultimately reduce morbidity and mortality is essential. Here we report a case of a male patient with spontaneous rupture of a large splenic artery aneurysm presenting with abdominal pain. CASE PRESENTATION: A 59-year middle-eastern male, with known pemphigus vulgaris presented with a chief complaint of headache and syncope, followed by abdominal pain along with severe metabolic acidosis. A contrast-enhanced computed tomography scan of the abdomen and pelvic showed a splenic artery aneurysm of 33 × 30 mm with a 150 × 90 mm hematoma formation around the aneurysm site. The patient underwent an operation and splenectomy, with confirmation of the diagnosis of ruptured splenic artery aneurysm. CONCLUSION: It is essential to consider splenic aneurysm rupture as a second-line differential diagnosis, especially among patients with comorbid diseases, as this can lead to timely and appropriate lifesaving intervention.
BACKGROUND: There is currently no information on the anatomical risk factors for splenic artery aneurysm rupture, specifically the location or size of the lesion; therefore, reporting this entity to obtain data and ultimately reduce morbidity and mortality is essential. Here we report a case of a male patient with spontaneous rupture of a large splenic artery aneurysm presenting with abdominal pain. CASE PRESENTATION: A 59-year middle-eastern male, with known pemphigus vulgaris presented with a chief complaint of headache and syncope, followed by abdominal pain along with severe metabolic acidosis. A contrast-enhanced computed tomography scan of the abdomen and pelvic showed a splenic artery aneurysm of 33 × 30 mm with a 150 × 90 mm hematoma formation around the aneurysm site. The patient underwent an operation and splenectomy, with confirmation of the diagnosis of ruptured splenic artery aneurysm. CONCLUSION: It is essential to consider splenic aneurysm rupture as a second-line differential diagnosis, especially among patients with comorbid diseases, as this can lead to timely and appropriate lifesaving intervention.
Authors: Deron J Tessier; William M Stone; Richard J Fowl; Maher A Abbas; James C Andrews; Thomas C Bower; Peter Gloviczki Journal: J Vasc Surg Date: 2003-11 Impact factor: 4.268
Authors: Maher A Abbas; William M Stone; Richard J Fowl; Peter Gloviczki; W Andrew Oldenburg; Peter C Pairolero; John W Hallett; Thomas C Bower; Jean M Panneton; Kenneth J Cherry Journal: Ann Vasc Surg Date: 2002-07-01 Impact factor: 1.466