BMJ Case Reports 2013; doi:10.1136/bcr-2013-009925

Abdominal pain and collapse in the emergency department

  1. Gary Cumberbatch
  1. Department of Emergency Medicine, Poole Hospital, Poole, Dorset, UK
  1. Correspondence to Dr Adam Green,{at}


Rupture of a splenic artery aneurysm is a rare but life-threatening presentation to the emergency department. This case demonstrates the importance of swift resuscitation and the benefit of bedside imaging in a highly unstable patient. The definitive management of this condition in patients who are refractory to resuscitative attempts is immediate surgery with the diagnosis often only confirmed at laparotomy.

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