splenic artery aneurysm as an unusual cause of new onset ascites: a case report

splenic artery aneurysm (saa) is a rare and potentially life-threatening clinical entity that carries a risk of rupture and peritoneal hemorrhage. when ruptured, it typically manifests as abdominal pain with hemodynamic instability. this is a report about a 29-year-old male admitted for evaluation of recent-onset ascites following the spontaneous resolution of a transient episode of severe epigastric and left upper quadrant pain with syncope the preceding day. paracentesis revealed bloody fluid. abdominal computed tomographic angiography (cta) and magnetic resonance venography (mrv) showed a three centimeter saa. during admission, prompt exploratory laparotomy was performed that revealed excessive intraperitoneal hemorrhage due to a ruptured saa. the pathology report confirmed that the saa had developed secondary to atherosclerosis. careful history taking together with appropriate imaging tests and emergent surgical intervention led to a timely diagnosis and the patient's survival. normal 0 false false false en-us x-none fa