Spontaneous non-traumatic splenic artery aneurysm rupture: a case report and review of the literature

D. Martin, H. Teixeira Farinha, N. Dattner, S. Rotman, N. Demartines, M.O. Sauvain

Department of Visceral Surgery, University Hospital CHUV, Lausanne, Switzerland. demartines@chuv.ch

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• Angiology

The current case report is about spontaneous non-traumatic rupture of a splenic artery aneurysm (SAA) in a 53-year-old woman with no particular medical history. An emergent laparotomy with splenectomy was required, unfortunately without success as the patient died.

SAA is the most common visceral artery aneurysm. Most of SAA remain asymptomatic and are discovered incidentally on imaging. The overall risk of rupture increases with the size of SAA, especially when above 2 cm. Initial presentation of SAA has been associated with acute rupture and hemodynamic instability leading to substantial perioperative morbidity and mortality.

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