title: Ruptured spontaneous splenic artery aneurysm: A case report and review of the literature.
abstract: BACKGROUND
  Splenic artery aneurysm is a rare condition, however, potentially fatal. The importance of splenic artery aneurysm lies in the risk for rupture and life threatening hemorrhage.
  
  
  METHODS
  This is a case of a ruptured splenic artery aneurysm in a 58-year-old lady. She presented with hypovolemic shock and intra-peritoneal bleeding. Diagnosis was confirmed by CT angiography and she was managed by operative ligation of the aneurysm with splenectomy and distal pancreatectomy.
  
  
  CONCLUSIONS
  The literature pointed the presence of some risk factors correlating to the development of splenic artery aneurysm. In this article we discuss a rare case of spontaneous (idiopathic) splenic artery aneurysm and review the literature of this challenging surgical condition.
  
  
  CONCLUSIONS
  Splenic artery aneurysm needs prompt diagnosis and management to achieve a favorable outcome, high index of suspicion is needed to make the diagnosis in the absence of known risk factors.
authors.affiliation: Department of Surgery, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Aisha
authors.initials: A
authors.lastname: Abdulrahman
authors.affiliation: Department of Surgery, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Alaa
authors.initials: A
authors.lastname: Shabkah
authors.affiliation: Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Mazen
authors.initials: M
authors.lastname: Hassanain
authors.affiliation: Department of Surgery, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. Electronic address: dr.aljiffry@gmail.com.
authors.forename: Murad
authors.initials: M
authors.lastname: Aljiffry
keywords: Aneurysm; Idiopathic; Rupture; Splenic artery; Spontaneous