Circulatory collapse from rupture of splenic artery aneurysm: A case study

Background: A case study of a successfully treated rupture of a splenic artery aneurysm during pregnancy, an exceedingly rare condition. The natural history, typical presentation, epidemiology, investigations and available treatments are discussed. Case: A multigravid 37-year-old presented with acute left upper quadrant pain in her twentieth week of pregnancy. After resuscitation and emergency imaging the patient was diagnosed with a ruptured splenic artery aneurysm. Remaining stable after initial resuscitation allowed for endovascular coiling of her aneurysm. Discussion: The presentation of ruptured splenic artery aneurysm is rare. While pregnancy is a risk factor, it represents less than 0.1% of pregnancies. However, when it does present it is associated with a high maternal and foetal mortality rate. In this case the stability of the patient allowed for imaging to confirm the diagnosis and the provision of endovascular coiling of the aneurysm. On review of the literature the condition characteristically is diagnosed at laparotomy.

Download Full-text

Embolization of a Giant Splenic Artery Aneurysm with Only Proximal Coil Embolization: A Case Report

International Journal of Angiology ◽

10.1055/s-0032-1306194 ◽

2003 ◽

Vol 12 (03) ◽

pp. 209-210

Author(s):

Michael Herskowitz ◽

Yair Safriel ◽

Virgilio Gillego

Keyword(s):

Case Report ◽

Coil Embolization ◽

Splenic Artery ◽

Artery Aneurysm ◽

Splenic Artery Aneurysm

Download Full-text

Incidental Splenic Artery Aneurysm

Journal of the Royal Society of Medicine ◽

10.1177/014107680209500911 ◽

2002 ◽

Vol 95 (9) ◽

pp. 460-461 ◽

Cited By ~ 7

Author(s):

R Kenningham ◽

M J Hershman ◽

R G Mcwilliams ◽

F Campbell

Keyword(s):

Splenic Artery ◽

Artery Aneurysm ◽

Splenic Artery Aneurysm

Download Full-text

Splenic artery aneurysm in Sjögren’s syndrome

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2019.1082 ◽

2019 ◽

Vol 89 (2) ◽

Author(s):

Cuneyt Tetikkurt ◽

Zeynep Ferhan Ozseker ◽

Fatma Gülsüm Karakaş

Keyword(s):

Sjögren’S Syndrome ◽

Splenic Artery ◽

Sjögren's Syndrome ◽

Pulmonary Function Tests ◽

Artery Aneurysm ◽

Sjogren’S Syndrome ◽

Sjogren's Syndrome ◽

Splenic Artery Aneurysm ◽

Arterial Blood ◽

Sjögren‘S Syndrome

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.

Download Full-text