Spontaneous rupture of an isolated splenic artery aneurysm: an unusual cause of an acute abdomen

Deniz Tihan; Fikret Tanırgan; Mustafa Menteş

doi:10.5606/tgkdc.dergisi.2015.9573

Deniz Tihan¹, Fikret Tanırgan², Mustafa Menteş³

¹Department of General Surgery, Şevket Yılmaz Training and Research Hospital, Bursa, Turkey
²Department of General Surgery, Deutsches Krankenhaus, İstanbul, Turkey
³Department of Radiology, Medical Faculty of Yeni Yüzyıl University, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2015.9573

A 65-year-old female patient who had a history of hypertension was admitted to the hospital with a diffuse abdominal pain. The physical examination revealed an acute abdomen. Abdominal ultrasonography showed free fluid in the abdominal cavity and the computed tomography revealed an isolated splenic artery aneurysm. Laparotomy, ligation of the splenic artery, splenectomy and cholecystectomy was carried out. Case reports regarding spontaneous rupture of the isolated splenic artery aneurysm are rare in the literature. In this article, we report an unusual cause of acute abdomen.

Keywords : Acute abdomen; laparotomy; splenectomy; splenic artery aneurysm; splenic artery ligation

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