Sudden death due to non-traumatic rupture of splenic artery aneurysm

2021 ◽  
pp. 002581722110183
Author(s):  
Aditya Anand ◽  
Sahil Khurana ◽  
Navneet Ateriya ◽  
G A Sunil Kumar Sharma

Introduction Splenic artery aneurysm is a rare form of vascular pathology that carries a high risk of mortality once it gets ruptured. It has a prevalence of 1% and occurs due to thinning and dilatation of the arterial wall. Case We describe a case of a 35-year-old policeman who died suddenly. At medico-legal autopsy, intraperitoneal clotted blood about 1000 g and liquid blood about 3000 ml were seen. On further exploration, ruptured splenic artery aneurysm about 2.0 cm in diameter became visible near the hilum. Conclusion Rare cases typically present as sudden and unexpected death with intraperitoneal bleed and may be confused with blunt trauma abdomen. Therefore, splenic artery aneurysm is an appropriate differential diagnosis for sudden deaths and intraperitoneal bleeding, respectively.

2002 ◽  
Vol 95 (9) ◽  
pp. 460-461 ◽  
Author(s):  
R Kenningham ◽  
M J Hershman ◽  
R G Mcwilliams ◽  
F Campbell

2019 ◽  
Vol 89 (2) ◽  
Author(s):  
Cuneyt Tetikkurt ◽  
Zeynep Ferhan Ozseker ◽  
Fatma Gülsüm Karakaş

A 40-year-old female presented with cough, exertional dyspnea, abdominal pain with distention, fatigue, dry eyes and dry mouth. Past history revealed asthma. Physical examination was normal except for tachypnea. We found leukocytosis, azygos fissure on chest X-ray along with normal pulmonary function tests and arterial blood gases.  Thorax computed tomography (CT) revealed bronchiectasis and ground glass opacities in both lungs. Abdominal CT demonstrated thrombosed proximal splenic artery aneurysm. Further diagnostic procedures were done and according to the positive Schirmer test and compatible histopathologic findings of the salivary gland, diagnosis of primary Sjögren’s syndrome was established. Splenic artery aneurysm is rare occurring in less than 1% of the population that usually appears as an incidental finding. This is the first case in literature that introduces Sjögren’s syndrome as a risk factor for splenic artery aneurysm. The silent presentation of the splenic artery aneurysm should previse the clinicians that such an occurrence may cause a significant diagnostic dilemma.


2001 ◽  
Vol 24 (3) ◽  
pp. 200-203 ◽  
Author(s):  
Hyun-Ki Yoon ◽  
Mats Lindh ◽  
Petr Uher ◽  
Bengt Lindblad ◽  
Krasnodar Ivancev

2003 ◽  
Vol 73 (5) ◽  
pp. 361-364 ◽  
Author(s):  
Eugene T. Ek ◽  
Carol-Anne Moulton ◽  
Sean Mackay

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