Management of Spontaneously Ruptured Splenic Artery Aneurysm in Pregnancy with Endovascular Stent-Graft

Issa Mirmehdi and Michael A. Fabian

Rupture of splenic artery aneurysm (SAA) is a rare condition that mostly occurs during pregnancy and carries a potentially high maternal and fetal mortality. A 24 year-old female in her 20th week of gestation presented with epigastric abdominal pain and hemorrhagic shock related to spontaneous rupture of a large SAA in the mid portion of the splenic artery. The aneurysm was successfully excluded from circulation with endovascular placement of a covered stent-graft. This technique is less invasive than open surgical approach and maintains the patency of splenic artery, which is preferred over endovascular embolization.