Spontaneous rupture of a splenic artery aneurysm causing acute abdomen in a 19-year-old male patient: a case report

Frontiers in Surgery

Surgery

Abdallah Deghles Barqawi¹  Mohammed Maree¹  Yumna Njoum² 

[1] Department of Surgery, Al-Makassed Hospital, Jerusalem, Palestine;Faculty of Medicine, Al-Quds University, Jerusalem, Palestine;

关键词: splenic artery;    aneurysm;    spontaneous rupture;    hemoperitoneum;    acute abdomen;    splenectomy;   

DOI  :  10.3389/fsurg.2023.1223271

 received in 2023-05-15, accepted in 2023-08-31,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionA splenic artery aneurysm is considered an abnormal dilatation of the splenic artery layers greater than 1 cm in diameter. First described by Beaussier in 1770, it affects 1% of the population but carries a major risk for life-threatening complications of rupture in 3%–10% of cases regardless of its congenital or acquired etiology. The presentation is highly variable, from asymptomatic incidental discovery during routine imaging to aneurysmal rupture causing acute abdomen, massive gastrointestinal bleeding, and hemorrhagic shock.Case presentationHerein, we present a 19-year-old male patient who presented with epigastric pain and abdominal rigidity associated with a moderate amount of free peritoneal fluid that was found to be a ruptured SAA after immediate laparoscopy, which was successfully managed with splenectomy.ConclusionSAAs are a rare etiology of acute abdomen and hemorrhagic shock but have a very high risk of mortality even upon immediate intervention, requiring a very high level of vigilance and a low threshold for surgical intervention in unstable patients presenting with abdominal pain.

【 授权许可】

Unknown   
© 2023 Njoum, Barqawi and Maree.