Korean J Med.  2001 Sep;61(3):302-306.

A case of splenic artery aneurysm rupture complicated by liver cirrhosis

• Lee KS
• Kim HG
• Kim YS

Abstract

Splenic artery aneurysms, no longer considered rare, occur in 10% of patients with liver cirrhosis and portal hypertension. But, spontaneous rupture of splenic artery aneurysm is a rare condition. Due to a fatal rupture, they are considered dangerous. Rupture is often the first and only symptom. With an increased index of suspicion and early aggressive treatment of asymptomatic splenic artery aneurysms, mortality has drastically decreased. We experienced a case of splenic artery aneurysm rupture associated with liver cirrhosis. A 40-year-old female patient was admitted due to left upper quadrant pain. The patient was diagnosed as splenic artery aneurysm rupture with liver cirrhosis by celiac arteriogram and computed tomography. The patient was treated with splenic artery embolization and splenectomy, but the patient died. In this paper, the case of splenic artery aneurysm rupture associated with liver cirrhosis is reported with review of relevant literatures.

Keyword

Aneurysm; Ruptured; Splenic artery; Liver cirrhosis

MeSH Terms

Adult
Aneurysm*
Female
Humans
Hypertension, Portal
Liver Cirrhosis*
Liver*
Mortality
Rupture*
Rupture, Spontaneous
Splenectomy
Splenic Artery*