Surgical Treatment of Ruptured Splenic Artery Aneurysm. A Clinical Case and Review Literature.

Abstract

Introduction: Ruptured splenic artery aneurysms (SAAs) are rare but life-threatening vascular emergencies. Prompt diagnosis and intervention are crucial for patient survival. We present a case of a 54-year-old male who presented with We describe the case of a 54-year-old male who presented with an acute onset of diffuse abdominal pain radiating to the left shoulder, tachycardia, and hemodynamic stability without signs of hypovolemic shock. The diagnostic process includes imaging examinations such as abdominal echo, AngioCT abdomen, and laboratory examinations. After 12 hours of observation, the head of the general surgery service and vascular surgeons consulted, and the decision was made to perform an exploratory laparotomy. The patient underwent laparotomy, which revealed hemoperitoneum and rupture of the splenic artery aneurysm, requiring Splenectomy. The patient had an uneventful postoperative course and was discharged home on postoperative day 7. Ruptured splenic artery aneurysms represent a challenging clinical scenario requiring prompt recognition and intervention. Surgical management remains the cornerstone of treatment, aiming to prevent life-threatening bleeding and preserve splenic function when feasible. Multidisciplinary collaboration and adherence to evidence-based practices are essential for optimizing patient outcomes in this rare but critical condition. Ongoing research and advancements in surgical techniques continue to refine the approach to splenic artery aneurysms, enhancing the quality of care provided to affected patients. Conclusion: This case report highlights the importance of a high index of suspicion for ruptured SAA in patients with suggestive clinical presentations. Prompt surgical intervention with appropriate technique selection is essential for optimal patient outcomes.

Keywords

• Splenic artery aneurysm
• Ruptured aneurysm
• Splenectomy