Spontaneous rupture of splenic artery aneurysm: A rare complication leading to hypovolemic shock

DMPWASB Dissanayaka , J Arudchelvam
Dissanayaka DMPWASB, Arudchelvam J, Ekanayake ST, et al. 2025 Spontaneous rupture of splenic artery aneurysm: A rare complication leading to hypovolemic shock. Sri Lanka Journal of Medicine, pp . 27-30 DOI: https://doi.org/10.4038/sljm.v34i3.595
Publication year: 2025
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ABSTRACT

Spontaneous rupture of the splenic artery aneurysms (SAAs) is a rare complication (2% to 10%), it carries a

significant mortality risk. We report a case of a 48-year-old male who presented with acute severe epigastric

pain radiating through to the back. He was in class 3 haemorrhagic shock. Following stabilisation, a

computerised tomogram (CECT) of the abdomen was done, which revealed a ruptured SAA with blood in the

retro pancreatic area. As haemodynamic status deteriorated again, the patient underwent laparotomy and

ligation of the splenic artery and splenectomy. He recovered well. Therefore, early recognition and early

intervention for the ruptured visceral artery aneurysms is critical.

Keywords: Splenic artery, splenic artery aneurysm, splenectomy