• Trauma monthly · Jan 2013

    Ruptured aneurysm of the splenic artery: a rare cause of abdominal pain after blunt trauma.

    • Jalalludin Khoshnevis, Saran Lotfollahzadeh, Mohammad Reza Sobhiyeh, Hossein Najd Sepas, Masomah Abbas Nejad, Ali Rahbari, Nazanin Behnaz, and Zeinab Mahdi.
    • Department of Vascular Surgery, Shahid Beheshti University of Medical Sciences and Health Services, Shohadaye Tajrish Hospital, Tehran, IR Iran.
    • Trauma Mon. 2013 Jan 1; 18 (1): 46-9.

    IntroductionSplenic artery aneurysms (SAAs) are rare (0.2-10.4%); however, they are the most common form of visceral artery aneurysms. Splenic artery aneurysms are important to identify, because up to 25% of the cases are complicated by rupture. Post- rupture mortality rate is 25% -70% based on the underlying cause. Herein we present a young patient with abdominal pain after blunt abdominal trauma due to rupture of an SAA.Case PresentationA 27-year-old male, without a remarkable medical history, who suffered from abdominal pain for 2 days after falling was admitted to the emergency department with hypovolemic shock. Upon performing emergency laparotomy a ruptured splenic artery aneurysm was found.ConclusionsIt is important to consider rupture of a splenic artery aneurysm in patients with abdominal pain and hypovolemic shock.

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