Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock
Splenic artery pseudoaneurysm (SAP) is an uncommon etiology of acute abdominal pain, requiring a high degree of clinical suspicion to diagnose in a timely manner. There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2020-05, Vol.12 (5) |
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| creator | Montrief, Tim Anwar Parris, Mehruba Auerbach, Jonathan S Scott, Jeffrey M Cabrera, Jorge |
| description | Splenic artery pseudoaneurysm (SAP) is an uncommon etiology of acute abdominal pain, requiring a high degree of clinical suspicion to diagnose in a timely manner. There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented with acute abdominal pain secondary to an SAP. A computed tomography angiography scan of the abdomen revealed a ruptured SAP with hemoperitoneum. He successfully underwent emergency laparotomy and surgical ligation of his SAP with splenectomy. SAP rupture remains an under-recognized etiology of abdominal pain, even though it is the most frequent type of visceral pseudoaneurysm. Our case herein reinforces the importance of a broad list of differential diagnoses in the patient with acute abdominal pain, as well as the importance of the emergency physician in identifying an emergent condition and then directing the initial stabilization, resuscitation, and management. |
| doi_str_mv | 10.7759/cureus.8286 |
| format | Article |
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There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented with acute abdominal pain secondary to an SAP. A computed tomography angiography scan of the abdomen revealed a ruptured SAP with hemoperitoneum. He successfully underwent emergency laparotomy and surgical ligation of his SAP with splenectomy. SAP rupture remains an under-recognized etiology of abdominal pain, even though it is the most frequent type of visceral pseudoaneurysm. Our case herein reinforces the importance of a broad list of differential diagnoses in the patient with acute abdominal pain, as well as the importance of the emergency physician in identifying an emergent condition and then directing the initial stabilization, resuscitation, and management.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.8286</identifier><identifier>PMID: 32601561</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Abdomen ; Anemia ; Case reports ; Critical care ; Embolization ; Emergency medical care ; Emergency Medicine ; Etiology ; General Surgery ; Hematoma ; Hemorrhage ; Hemorrhagic shock ; Injuries ; Laparotomy ; Medical imaging ; Mortality ; Pain ; Pancreatitis ; Patients ; Pseudoaneurysm ; Stabbings ; Trauma ; Ultrasonic imaging ; Veins & arteries</subject><ispartof>Curēus (Palo Alto, CA), 2020-05, Vol.12 (5)</ispartof><rights>Copyright © 2020, Montrief et al. This work is published under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2020, Montrief et al. 2020 Montrief et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c283t-aba3ef862bec297ca8edd750e9f5611927b248214c4e1aa1c054f283d11bd4243</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317116/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317116/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Montrief, Tim</creatorcontrib><creatorcontrib>Anwar Parris, Mehruba</creatorcontrib><creatorcontrib>Auerbach, Jonathan S</creatorcontrib><creatorcontrib>Scott, Jeffrey M</creatorcontrib><creatorcontrib>Cabrera, Jorge</creatorcontrib><title>Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock</title><title>Curēus (Palo Alto, CA)</title><description>Splenic artery pseudoaneurysm (SAP) is an uncommon etiology of acute abdominal pain, requiring a high degree of clinical suspicion to diagnose in a timely manner. There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented with acute abdominal pain secondary to an SAP. A computed tomography angiography scan of the abdomen revealed a ruptured SAP with hemoperitoneum. He successfully underwent emergency laparotomy and surgical ligation of his SAP with splenectomy. SAP rupture remains an under-recognized etiology of abdominal pain, even though it is the most frequent type of visceral pseudoaneurysm. Our case herein reinforces the importance of a broad list of differential diagnoses in the patient with acute abdominal pain, as well as the importance of the emergency physician in identifying an emergent condition and then directing the initial stabilization, resuscitation, and management.</description><subject>Abdomen</subject><subject>Anemia</subject><subject>Case reports</subject><subject>Critical care</subject><subject>Embolization</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Etiology</subject><subject>General Surgery</subject><subject>Hematoma</subject><subject>Hemorrhage</subject><subject>Hemorrhagic shock</subject><subject>Injuries</subject><subject>Laparotomy</subject><subject>Medical imaging</subject><subject>Mortality</subject><subject>Pain</subject><subject>Pancreatitis</subject><subject>Patients</subject><subject>Pseudoaneurysm</subject><subject>Stabbings</subject><subject>Trauma</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVUF1LwzAUDaK4MffkHyj4KJu5adqkL8IY6sSB4vQ5pOnt1rk2NWmE_Xs7JqJP98L55BByCXQqRJLdmOAw-KlkMj0hQwapnEiQ_PTPPyBj77eUUqCCUUHPySBmKYUkhSF5WrW26XSDNvho1e6wqUw0cx26ffTiMRS2x4Lb-zp6DW3Xp0VzHXzVrKMF1ta5jV73itXGmo8Lclbqncfxzx2R9_u7t_lisnx-eJzPlhPDZNxNdK5jLGXKcjQsE0ZLLAqRUMzKvhJkTOSMSwbccAStwdCEl72yAMgLzng8IrdH3zbkNRYGm87pnWpdVWu3V1ZX6j_SVBu1tl9KxCAA0t7g6sfA2c-AvlNbG1zTd1aMg8zijKesZ10fWcZZ7x2WvwlA1WF8dRxfHcaPvwFH43jm</recordid><startdate>20200526</startdate><enddate>20200526</enddate><creator>Montrief, Tim</creator><creator>Anwar Parris, Mehruba</creator><creator>Auerbach, Jonathan S</creator><creator>Scott, Jeffrey M</creator><creator>Cabrera, Jorge</creator><general>Cureus Inc</general><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20200526</creationdate><title>Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock</title><author>Montrief, Tim ; Anwar Parris, Mehruba ; Auerbach, Jonathan S ; Scott, Jeffrey M ; Cabrera, Jorge</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c283t-aba3ef862bec297ca8edd750e9f5611927b248214c4e1aa1c054f283d11bd4243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Anemia</topic><topic>Case reports</topic><topic>Critical care</topic><topic>Embolization</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Etiology</topic><topic>General Surgery</topic><topic>Hematoma</topic><topic>Hemorrhage</topic><topic>Hemorrhagic shock</topic><topic>Injuries</topic><topic>Laparotomy</topic><topic>Medical imaging</topic><topic>Mortality</topic><topic>Pain</topic><topic>Pancreatitis</topic><topic>Patients</topic><topic>Pseudoaneurysm</topic><topic>Stabbings</topic><topic>Trauma</topic><topic>Ultrasonic imaging</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Montrief, Tim</creatorcontrib><creatorcontrib>Anwar Parris, Mehruba</creatorcontrib><creatorcontrib>Auerbach, Jonathan S</creatorcontrib><creatorcontrib>Scott, Jeffrey M</creatorcontrib><creatorcontrib>Cabrera, Jorge</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Montrief, Tim</au><au>Anwar Parris, Mehruba</au><au>Auerbach, Jonathan S</au><au>Scott, Jeffrey M</au><au>Cabrera, Jorge</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2020-05-26</date><risdate>2020</risdate><volume>12</volume><issue>5</issue><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Splenic artery pseudoaneurysm (SAP) is an uncommon etiology of acute abdominal pain, requiring a high degree of clinical suspicion to diagnose in a timely manner. There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented with acute abdominal pain secondary to an SAP. A computed tomography angiography scan of the abdomen revealed a ruptured SAP with hemoperitoneum. He successfully underwent emergency laparotomy and surgical ligation of his SAP with splenectomy. SAP rupture remains an under-recognized etiology of abdominal pain, even though it is the most frequent type of visceral pseudoaneurysm. Our case herein reinforces the importance of a broad list of differential diagnoses in the patient with acute abdominal pain, as well as the importance of the emergency physician in identifying an emergent condition and then directing the initial stabilization, resuscitation, and management.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><pmid>32601561</pmid><doi>10.7759/cureus.8286</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Anemia Case reports Critical care Embolization Emergency medical care Emergency Medicine Etiology General Surgery Hematoma Hemorrhage Hemorrhagic shock Injuries Laparotomy Medical imaging Mortality Pain Pancreatitis Patients Pseudoaneurysm Stabbings Trauma Ultrasonic imaging Veins & arteries |
| title | Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock |
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