RT Journal Article SR Electronic T1 Open splenic artery aneurysm repair in a patient with previous laparoscopic sleeve gastrectomy JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e250082 DO 10.1136/bcr-2022-250082 VO 15 IS 11 A1 Sonya Ann Smith A1 Michael Auld A1 Murray Ogg A1 Manju Dashini Chandrasegaram YR 2022 UL http://casereports.bmj.com/content/15/11/e250082.abstract AB We present the case of a female patient in her 40s who underwent a splenic artery aneurysm (SAA) repair following a previous laparoscopic sleeve gastrectomy (SG). We aim to discuss the management approach to SAAs and considerations in the setting of previous bariatric surgery.The patient consented to this case report. We include preoperative and postoperative radiological images and intraoperative images.While pseudoaneurysms following bariatric surgery have been reported, we present a case of a likely true SAA following SG. Our experience may assist others who come across similar cases in the future.