DOI: 10.36347/sjmcr.2018.v06i08.022

Pages: 570-573

The splenic artery aneurysms are rare and represent the third site of intra-abdominal aneurysms and the first location of visceral arteries. We report a case of spontaneous rupture of splenic artery aneurysm supported in the "E" department of visceral surgical emergencies, supplemented by a review of the literature. Splenic artery aneurysms differ from other aneurysms by a varied etiology and little evocative symptomatology. The majority of splenic artery aneurysms are asymptomatic. However, splenic artery aneurysms may manifest as epigastric or as the upper part of the left hypochondrium pain. Nowadays, a lot of splenic artery aneurysms were diagnosed and surgically treated with success, thanks to different diagnostic methods such as ultrasound, CT and angiography, which remains the golden standard. Action to be taken will depend on the location, diameter, reports of the aneurysm with adjacent organs, type of elective surgery or emergency and whether the aneurysm location is single or multiple. Rupture is the major evolutionary accident of splenic artery aneurysms, it can take several clinical forms that can be grouped according to their topography (intraperitoneal rupture, in a hollow viscus and in a full organ). The splenic artery aneurysms can be treated by embolization; however, several complications may be a result of treatment by embolization.