Introduction:

Splenic artery aneurysm consists of an abnormal dilation greater than 1 cm in diameter. Is the third most common intra-abdominal aneurysm and the most frequent visceral artery aneurysm.

Clinical case:

41-year-old female who, after a motor vehicle accident, presented pain in the left hypochondrium of one year evolution; ultrasound reports splenic artery aneurysm and cholelithiasis, angiotomography confirms splenic artery aneurysm. Selective embolization and coil placement are performed, abdominal pain and leukocytosis developed and new angiotomography suggests splenic artery occlusion and splenic infarction. Splenectomy and cholecystectomy are performed.

Discussion:

Up to 95% are asymptomatic, the rest may present pain located in epigastrium or left hypochondrium. Generally is an incidental finding on abdominal radiograph, ultrasound or computed tomography. Intervention should be considered in specific cases, being embolization or stent application, by endovascular approach, the treatment of choice conventional surgery should be reserved for complicated aneurysms or in case of rupture.

Conclusion:

Formerly, the treatment of choice was conventional surgery, but at present endovascular approach is. In this case, we present an aneurysm at the level of splenic hilum, which failed to endovascular treatment, and findings of splenic infarction, so we performed splenoaneurysmectomy.