title: Spontaneous splenic artery aneurysm rupture: mimicking acute myocardial infarct.
abstract: Spontaneous splenic artery aneurysm (SAA) is a rare but a life-threatening condition. Thus, early diagnoses may increase the chance of survival. A 52-year-old female patient was admitted to the emergency department with a pain that starts from the chest and epigastric region and radiates to back and left arm. The patient prediagnosed as having acute myocardial infarct and was under observation when acute abdomen and hemorrhagic shock developed. After further investigation, the patient was diagnosed as having SAA and has undergone a successful surgery. The patient was fully cured and discharged from the hospital on the seventh postoperative day. The patient originally presented with SAA, although she was primarily observed in the emergency department with acute myocardial infarct diagnosis because of similar symptoms and clinical findings to cardiovascular diseases. When changes in the clinical picture occurred, the patient was reevaluated and had undergone an operation because of SAA rupture. Therefore, physicians should take into consideration of aneurysm rupture in the differential diagnosis of the cardiovascular conditions; otherwise, the patient may lose his/her life.
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey. Electronic address: sezginzeren@gmail.com.
authors.forename: Sezgin
authors.initials: S
authors.lastname: Zeren
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey.
authors.forename: Zülfü
authors.initials: Z
authors.lastname: Bayhan
authors.affiliation: Department of General Surgery, Evliya Celebi Training and Research Hospital, Kutahya, Turkey.
authors.forename: Yalcın
authors.initials: Y
authors.lastname: Sönmez
authors.affiliation: Department of General Surgery, Evliya Celebi Training and Research Hospital, Kutahya, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Mestan
authors.affiliation: Department of Radiology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Korkmaz
authors.affiliation: Department of Emergency Medicine, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Kadıoglu
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey.
authors.forename: Bercis Imge
authors.initials: BI
authors.lastname: Ucar
authors.affiliation: Department of Radiology, Evliya Celebi Training and Research Hospital, Kutahya, Turkey.
authors.forename: Cigdem
authors.initials: C
authors.lastname: Devir
authors.affiliation: Department of General Surgery, Evliya Celebi Training and Research Hospital, Kutahya, Turkey.
authors.forename: Fatih Mehmet
authors.initials: FM
authors.lastname: Ekici
authors.affiliation: Department of Radiology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey.
authors.forename: Bekir
authors.initials: B
authors.lastname: Sanal
mesh_terms: D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D012422:Rupture, Spontaneous; D013156:Splenectomy; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed