DOI: 10.36347/sjmcr.2020.v08i07.023

Pages: 741-743

The splenic artery aneurysm is a rare pathological entity, most often asymptomatic. Rarely it can be revealed by an upper digestive hemorrhage. We report the case of a 26 year old patient who presented to the emergency room for a recurrent hematemesis table. A complete assessment including an abdominal CT scan revealed an aneurysm of the splenic artery in intimate contact with the posterior wall of the stomach. Surgical treatment was urgently decided following the installation of hemodynamic instability with flattening of the aneurysm. The objective of this observation is to show that the reference treatment for large aneurysms is surgical treatment by laparotomy without restoring splenic arterial continuity, with suturing of the digestive orifice, without delay before the onset of state of hemorrhagic shock which can be fatal.