Ruptured splenic artery aneurysm

A case of ruptured splenic artery aneurysm is presented. The eventual outcome after surgery was favourable. A short review of the literature is presented. From this it is suggested that these aneurysms be dealt wih surgically in certain unruptured cases in order to prevent the high mortality associated with rupture. The absolute indications for surgery in unruptured cases are those occurring in young patients whose aneurysms are over 3 cm in diameter and are not calcified. This applies particularly to those found in women of childbearing age. Further relative indications for surgery are enlarging and symptomatic aneurysms.S. Afr. Med. J., 48, 917 (1974)