Splenic Artery Aneurysm

• According to autopsy studies, splanchnic artery aneurysms (spleen, celiac, etc.) may be more frequent than AAA
• Most asymptomatic and detected incidentally on CT
• Splenic artery aneurysms most common splanchnic aneurysm
• With increased use of abdominal CT, emergency physicians will be seeing this diagnosis more often

Who cares, you ask?

• Splanchnic artery aneurysms are at risk for rupture
• This type of vascular abnormality will be discovered more often because of increased CT use
• Aneurysms > 2cm indication for repair
• Consider consultation and /or expeditious followup if this is encountered
• May be treated with catheter embolization or surgery