Splenic artery aneurysm with the double-rupture phenomenon.
- Author:
Jung Ho KIM
1
;
Han Sol CHUNG
;
Jong Ha KIM
;
Sin Youl PARK
;
Sam Beom LEE
;
Byung Soo DO
Author Information
- Publication Type:Case Report
- Keywords: Splenic artery; Aneurysm; Double rupture
- MeSH: Aneurysm*; Emergencies; Hematoma; Hemoperitoneum; Hemorrhage; Humans; Prevalence; Rupture; Shoulder Pain; Spleen; Splenic Artery*
- From: Clinical and Experimental Emergency Medicine 2017;4(2):113-116
- CountryRepublic of Korea
- Language:English
- Abstract: Splenic artery aneurysm is the third most common type of intra-abdominal aneurysm, with a prevalence rate of 0.01% to 10.4% in the general population. Splenic artery aneurysm is usually asymptomatic and is typically detected by chance and does not require surgical management; however, if rupture occurs, although rare, the patient's situation can become critical. We report our experience with a man who presented with left flank and left shoulder pain. His symptoms were caused by multiple hematomas confined to the spleen, but 2 days after admission, he developed delayed hemoperitoneum and required surgical management. We believe that his condition was due to delayed intraperitoneal bleeding called the double-rupture phenomenon; emergency physicians must consider this phenomenon when taking care of splenic artery aneurysm patients.
