Spontaneous rupture of the splenic artery aneurysm: a rare clinical presentation of acute abdomen. [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2016; 22(1): 106-108 | DOI: 10.5505/tjtes.2015.32654  

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

Mehmet Timuçin Aydın, Mehmet Mahir Fersahoğlu, Sinan Tezer, Mehmet Okuducu, Birol Ağca, Kemal Memişoğlu
Fatih Sultan Mehmet Hospital, Dept. Of Surgery, Istanbul, Turkey

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.

Keywords: Splenic artery, aneurysm, rupture, acute abdomen


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

Mehmet Timuçin Aydın, Mehmet Mahir Fersahoğlu, Sinan Tezer, Mehmet Okuducu, Birol Ağca, Kemal Memişoğlu
Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul

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


Mehmet Timuçin Aydın, Mehmet Mahir Fersahoğlu, Sinan Tezer, Mehmet Okuducu, Birol Ağca, Kemal Memişoğlu. Spontaneous rupture of the splenic artery aneurysm: a rare clinical presentation of acute abdomen.. Ulus Travma Acil Cerrahi Derg. 2016; 22(1): 106-108

Corresponding Author: Mehmet Timuçin Aydın, Türkiye


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