Background: Splenic artery aneurysms are very rare causes of acute abdomen but are important to recognize since they carry high rate of mortality when rupture.
Case report: We present a middle aged man with sudden onset of abdominal pain. Previously on steroid treatment due to sarcoidosis the gentleman developed hypovolemic shock during work-up in diagnostic imaging and went on emergency laparatomy. The source was identified as a ruptured splenic artery aneurysm. Splenectomy en bloc with the aneurysmatic distal splenic artery was performed and he was discharged uneventfully.
Conclusion: Although rare it is important to recognize splenic artery aneurysm in the emergency department and immediate intervention is required to save the patient.
Acil serviste nadir olarak görülen spontan splenik arter rüptürü ani başlayan akut karın ağrısını olarak ortya çıkabilir ve tanı zamanlı olarak konulamazsa yüksek mortalite ile seyreder. Karın ağrısı yakınması ile başvuran 33 yaşında erkek hastada akut batın bulguları ile tanı çalışmasında sırasında hipovolemik şoka girdi ve acil aparatomide rüptüre splenik arter anevrizması splenektomi ile kontrol altına alındı.
Anahtar Kelimeler: Splenik arter, anevrizma, rüptür, akut batın