Medicina Fluminensis, Vol. 61 No. 2, 2025.
Case report, case study
https://doi.org/10.21860/medflum2025_330059
Splenic Artery Rupture: A Comprehensive Review of Clinical Presentation, Diagnosis and Management – A Case Report
Anton Turić
orcid.org/0009-0003-8410-1908
; University of Rijeka, Faculty of Medicine, Rijeka, Croatia
*
Leona Ostojić
; University of Rijeka, Faculty of Medicine, Rijeka, Croatia
Lucija Grbić
; University of Zagreb, School of Medicine, Zagreb, Croatia
Đordano Bačić
; Clinical Hospital Center Rijeka, Department of Surgery, Rijeka, Croatia
Zrinka Matana Kaštelan
; Clinical Hospital Center Rijeka, Department of Diagnostic and Interventional Radiology, Rijeka, Croatia
Petra Valković Zujić
; Clinical Hospital Center Rijeka, Department of Diagnostic and Interventional Radiology, Rijeka, Croatia
* Corresponding author.
Abstract
Aim: The aim of the paper is to present the complications of splenic artery aneurysm rupture, which include uncontrolled hemorrhage, multiple organ dysfunction syndrome (MODS), multiple organ failure (MOF) and their treatment. Case report: A 29-year-old man came by ambulance to the emergency room because of severe epigastric pain radiating below the right costal arch, accompanied by sudden weakness, nausea, and profuse sweating. The initial radiological work-up (radiogram of the chest organs and abdominal x-ray) was normal, however, collection of perihepatic and intra-abdominal anechoic liquid was observed on the ultrasound of the abdomen. Based on the findings of free fluid and the patient’s severe condition, a computerized tomography (CT) of the abdomen and pelvis was indicated, which established the diagnosis of a ruptured aneurysm of the splenic artery and hemorrhagic ascites in the omental bursa. The patient underwent surgery with splenectomy and distal pancreatectomy. Close postoperative monitoring and appropriate medical care ensured an optimal outcome. In the postoperative follow-up of the patient for six months, the patient is in good health, without the development of complications Conclusion: The presented case emphasizes the importance of early recognition, timely intervention and surgical treatment of splenic artery rupture. Adequate triage, a multidisciplinary approach and urgent radiological and surgical intervention are key to a good outcome and reduction of morbidity and mortality associated with this life-threatening condition.
Keywords
aneurysm; emergencies; rupture; splenic artery
Hrčak ID:
330059
URI
Publication date:
1.6.2025.
Visits: 801 *