A Case of Ruptured Splenic Artery Aneurysm with Double Rupture Phenomenon

Masahiko Kawai, Bun Sano, Shin Yamada, Motohisa Kato, Takao Umemoto, Daizo Fukada, Shigetoyo Saji, Kuniyasu Shimokawa*

Second Department of Surgery and Department of Labolatory Medicine*, Gifu University School of Medicine

Ruptured splenic artery aneurysm is still a severe disease because of its mortality when treatment is not correctly timed. A 38-year-old man complaing of upper abdominal pain and vomiting was admitted to the hospital and diagnosed as having acute gastroenteritis. He went into preshock state during admission. Emergency CT scanning revealed high density mass suspected to be a hematoma in the Bursa. Emergency laparotomy was scheduled, but during waiting time, double rupture was occurred. He was rescued by emergency laparotomy performing splenectomy with aneurysm. Ruptured splenic artery aneurysm manifests with left upper abdominal pain. It sometimes ruptures in the peritoneal cavity after temporary hemostasis by coagula in the bursa. This case had double rupture phenomenon. Early diagnosis and operation before the second rupture are necessary.

Key words
splenic artery aneurysm, double rupture phenomenon

Reprint requests
Masahiko Kawai Second Department of Surgery, Gifu University School of Medicine
40 Tukasa-machi, Gifu, 500-8076 JAPAN

Accepted
May 19, 1998

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