Splenic artery aneurysm masked as a gastroenterology complication: A case report and literature review

Ann Med Surg (Lond). 2022 Sep 11:82:104608. doi: 10.1016/j.amsu.2022.104608. eCollection 2022 Oct.

Abstract

Introduction and importance: Splenic artery aneurysm has an insidious onset, and low incidence, most of which have no specific manifestations on the early onset and remains the most common visceral aneurysm and third most common splanchnic aneurysm as it still remains a challenge to deal with clinically by many clinicians.

Case presentation: We report a single case of a young 21 years old girl who had no potential risk of splenic artery aneurysm on clinical presentation, for gastroenterology disease only assessment and attention in our facility. The patient born and raised on a tropical island in Southern China was clinically diagnosed with splenic artery aneurysm-associated gastroenterological complications which was presented earlier as hematemesis. The patient was considered to have received optimal critical care by our multidisciplinary team and classical features displayed within the clinical settings are worth documenting and contribute perfectly to medical literature as the patient on follow-up is now back to normal life.

Clinical discussion: Our patient recovered excellently on critically close follow-up since the patient had special gastroenterology associated complication features which masked the splenic artery aneurysm with very encouraging post-operative parameters or results.

Conclusion: The patient was considered to have received optimal multidisciplinary quaternary medical care for SAAs with gastroenterology-associated complications in our interventional cardiovascular and gastroenterology medicine department.

Keywords: BP, blood pressure; CTA, computed tomography angiography; Case report; DSA, digital subtraction angiography; Gastroenterology complications; SAA, splenic artery aneurysm; Splenic artery aneurysm.

Publication types

  • Case Reports