Author/Authors :
Ahadi Mitra نويسنده Dept. of Radiation oncology, Cancer Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran , Vosoghinia Hasan نويسنده Department of Gastroenterology and Hepatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran , Rajabzadeh Farnood نويسنده Department of Radiology, School of Medicine, Mashhad Branch, Islamic Azad University, Mashhad, IR Iran , Goshayeshi Ladan نويسنده Department of Gastroenterology and Hepatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran , Farzanehfar Mohammad Reza نويسنده Ghaem Hospital - Mashhad University of Medical Sciences , Asadi Sakhmaresi Tayyebeh نويسنده Gastroenterology and Hepatology Department - School of Medicine - Mashhad University of Medical Sciences
Abstract :
Splenic artery aneurysm (SAA) is a rare and potentially life-threatening clinical entity that carries a risk of rupture and peritoneal hemorrhage. When ruptured, it typically manifests as abdominal pain with hemodynamic instability. This is a report about a 29-year-old male admitted for evaluation of recentonset ascites following the spontaneous resolution of a transient episode of severe epigastric and left upper quadrant pain with syncope the preceding day. Paracentesis revealed bloody flid. Abdominal computed tomographic angiography (CTA) and magnetic resonance venography (MRV) showed a three centimeter SAA. During admission, prompt exploratory laparotomy was performed that revealed excessive intraperitoneal hemorrhage due to a ruptured SAA. The pathology report confimed that the SAA had developed secondary to atherosclerosis. Careful history taking together with appropriate imaging tests and emergent surgical intervention led to a timely diagnosis and the patient’s survival.
