Spontan splenik arter anevrizma rüptürü: klinikte nadir görülen bir akut abdomen sebebi

Acil serviste nadir olarak görülen spontan splenik arter rüptürü ani baþlayan akut karýn aðrýsýný olarak ortya çýkabilir ve taný zamanlý olarak konulamazsa yüksek mortalite ile seyreder. Karýn aðrýsý yakýnmasý ile baþvuran 33 yaþýnda erkek hastada akut batýn bulgularý ile taný çalýþmasýnda sýrasýnda hipovolemik þoka girdi ve acil aparatomide rüptüre splenik arter anevrizmasý splenektomi ile kontrol altýna alýndý.

Spontaneous rupture of the splenic artery aneurysm: a rare clinical presentation of acute abdomen.

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.