Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review)
Splenic artery aneurysm (SAA) is a rare condition; however, it is one of the most common intra-abdominal aneurysm. In the emergency department (ED), due to an uncommon cause of shock and syncope in SAA, it poses great diagnostic challenge for emergency physicians. Here we reported a case of spontane...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
De Gruyter
2022-03-01
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| Series: | Open Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1515/med-2022-0445 |
| _version_ | 1797998362398556160 |
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| author | Yuan Feng He Liudang Yao Zhengbin Long Yong Xu Shugen |
| author_facet | Yuan Feng He Liudang Yao Zhengbin Long Yong Xu Shugen |
| author_sort | Yuan Feng |
| collection | DOAJ |
| description | Splenic artery aneurysm (SAA) is a rare condition; however, it is one of the most common intra-abdominal aneurysm. In the emergency department (ED), due to an uncommon cause of shock and syncope in SAA, it poses great diagnostic challenge for emergency physicians. Here we reported a case of spontaneous rupturing of SAA. A 47-year-old man presented to the ED for syncope and shock. As he had unstable hemodynamic, we gave him fluid resuscitation and point-of-care ultrasound (POCUS), free intraperitoneal fluid was identified on ultrasound, then hemorrhagic ascites was identified by a diagnostic abdominal paracentesis. The rare but life-threatening diagnosis of spontaneous rupturing of SAA was confirmed by contrast-enhanced Computed Tomography and surgery. Spontaneous SAA rupturing is a rare fatal condition which needs immediate diagnosis and management to achieve a favorable outcome. Though there are no risk factors, emergency physicians should consider SAA in the differential diagnosis of sudden collapse. Also, as an emergency physician, it is very important to be a master of first aid skills such as POCUS and treat patients according to the process. |
| first_indexed | 2024-04-11T10:47:30Z |
| format | Article |
| id | doaj.art-45a9f4456a304ee0b05dac229d92beaa |
| institution | Directory Open Access Journal |
| issn | 2391-5463 |
| language | English |
| last_indexed | 2024-04-11T10:47:30Z |
| publishDate | 2022-03-01 |
| publisher | De Gruyter |
| record_format | Article |
| series | Open Medicine |
| spelling | doaj.art-45a9f4456a304ee0b05dac229d92beaa2022-12-22T04:29:00ZengDe GruyterOpen Medicine2391-54632022-03-0117160160510.1515/med-2022-0445Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review)Yuan Feng0He Liudang1Yao Zhengbin2Long Yong3Xu Shugen4Department of Emergency Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaDepartment of Emergency Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaDepartment of Emergency Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaDepartment of Emergency Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaDepartment of Emergency Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaSplenic artery aneurysm (SAA) is a rare condition; however, it is one of the most common intra-abdominal aneurysm. In the emergency department (ED), due to an uncommon cause of shock and syncope in SAA, it poses great diagnostic challenge for emergency physicians. Here we reported a case of spontaneous rupturing of SAA. A 47-year-old man presented to the ED for syncope and shock. As he had unstable hemodynamic, we gave him fluid resuscitation and point-of-care ultrasound (POCUS), free intraperitoneal fluid was identified on ultrasound, then hemorrhagic ascites was identified by a diagnostic abdominal paracentesis. The rare but life-threatening diagnosis of spontaneous rupturing of SAA was confirmed by contrast-enhanced Computed Tomography and surgery. Spontaneous SAA rupturing is a rare fatal condition which needs immediate diagnosis and management to achieve a favorable outcome. Though there are no risk factors, emergency physicians should consider SAA in the differential diagnosis of sudden collapse. Also, as an emergency physician, it is very important to be a master of first aid skills such as POCUS and treat patients according to the process.https://doi.org/10.1515/med-2022-0445splenic artery aneurysmsyncopeshockpocus |
| spellingShingle | Yuan Feng He Liudang Yao Zhengbin Long Yong Xu Shugen Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review) Open Medicine splenic artery aneurysm syncope shock pocus |
| title | Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review) |
| title_full | Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review) |
| title_fullStr | Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review) |
| title_full_unstemmed | Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review) |
| title_short | Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review) |
| title_sort | spontaneous rupturing of splenic artery aneurysm another reason for fatal syncope and shock case report and literature review |
| topic | splenic artery aneurysm syncope shock pocus |
| url | https://doi.org/10.1515/med-2022-0445 |
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