• J Emerg Med · Mar 2014

    Case Reports

    Splenic Artery Aneurysm: An Important Cause of Hemoperitoneum and Shock.

    • John L Hick, Jeffrey D Ho, Valerie Johnson, and Joan Vancamp.
    • Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
    • J Emerg Med. 2014 Mar 1;46(3):e65-7.

    BackgroundSplenic artery aneurysm ruptures are rare and highly morbid events that are frequently associated with pregnancy. However, approximately 15% may occur in men, and it is important to have this possibility in the differential diagnosis in cases of hemoperitoneum and hemorrhagic shock. Rapid diagnosis and treatment is essential to survival.ObjectivesThe aim of this report is to educate emergency physicians on the early recognition and treatment of this life-threatening event and to increase the awareness of this condition in male patients.Case ReportWe describe the evaluation and management of two cases of splenic artery rupture in male patients with unique presentations.ConclusionSplenic artery aneurysm ruptures should be considered in the differential diagnosis in any patient with undifferentiated shock. Early diagnosis and treatment can save lives.Copyright © 2014 Elsevier Inc. All rights reserved.

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