title: Ruptured Splenic Artery Aneurysm: Rare Cause of Shock Diagnosed with Bedside Ultrasound.
abstract: Splenic artery aneurysm rupture is rare and potentially fatal. It has largely been reported in pregnant patients and typically not diagnosed until laparotomy. This case reports a constellation of clinical and sonographic findings that may lead clinicians to rapidly diagnose ruptured splenic artery aneurysm at the bedside. We also propose a rapid, but systematic sonographic approach to patients with atraumatic hemoperitoneum causing shock. It is yet another demonstration of the utility of bedside ultrasound in critically ill patients, specifically with undifferentiated shock.
authors.affiliation: West Virginia University School of Medicine, Morgantown, West Virginia.
authors.forename: Terri
authors.initials: T
authors.lastname: Davis
authors.affiliation: West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia.
authors.forename: Joseph
authors.initials: J
authors.lastname: Minardi
authors.affiliation: West Virginia University, Department of Surgery, Morgantown, West Virginia.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Knight
authors.affiliation: West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia.
authors.forename: Hollynn
authors.initials: H
authors.lastname: Larrabee
authors.affiliation: West Virginia University, Department of Surgery, Morgantown, West Virginia.
authors.forename: Gregory
authors.initials: G
authors.lastname: Schaefer
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging*; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D000067716:Point-of-Care Testing; D012422:Rupture, Spontaneous; D012769:Shock / Q000000981:diagnostic imaging / Q000209:etiology*; D013157:Splenic Artery / Q000000981:diagnostic imaging; D014463:Ultrasonography