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

Eur Rev Med Pharmacol Sci. 2018 May;22(10):3147-3150. doi: 10.26355/eurrev_201805_15074.


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.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Ruptured / diagnostic imaging
  • Aneurysm, Ruptured / pathology*
  • Aneurysm, Ruptured / surgery
  • Diagnosis, Differential
  • Fatal Outcome
  • Female
  • Humans
  • Laparotomy
  • Middle Aged
  • Rupture, Spontaneous
  • Splenectomy
  • Splenic Artery / growth & development
  • Splenic Artery / pathology*
  • Splenic Artery / surgery