Splenic artery aneurysm as an unusual cause of new onset ascites: a case report.
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 fluid. 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 confirmed that the SAA had developed secondaryto atherosclerosis. Careful history taking together with appropriate imaging tests and emergent surgical intervention led to a timely diagnosis and the patient' ssurvival.
Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Ladan
L
Goshayeshi
Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Hassan
H
Vosoghinia
Radiology Department, Mashhad Branch, Islamic Azad University of Medical Sciences, Mashhad, Iran.
Farnood
F
Rajabzadeh
Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mitra
M
Ahadi
Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Tayyebeh
T
Asadi Sakhmaresi
Gastroenterology and Hepatology Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad Reza
MR
Farzanehfar
Abdominal pain; Computed tomographic angiography; Hypotension; Magnetic resonance venography; Splenic artery aneurysm