Background: Splenic artery aneurysms are uncommon even though they are second only to those of the aorto-iliac system. There is also controversy regarding their management. Methods: We report the case of a 50-year-old patient with ruptured splenic artery aneurysm and review the literature regarding its diagnosis and management. Results: The patient underwent emergency laparotomy and splenectomy was performed. Conclusion: Resuscitation and an aggressive surgical approach should be taken in order to save the life of the patients.

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