{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:36Z","timestamp":1782384636798,"version":"3.54.5"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Splenic artery aneurysm (SAA) rupture is a rare but life-threatening cause of acute abdominal pain, with mortality exceeding 25% in undiagnosed cases. This report describes a giant SAA rupture that was initially misdiagnosed as a pancreatic pseudocyst on non-contrast computed tomography (CT), highlighting a critical diagnostic pitfall. A 49-year-old hypertensive male presented with sudden-onset left upper quadrant pain and nausea. Initial non-contrast CT showed cystic lesions with peripheral calcification, which were radiologically interpreted as a pancreatic pseudocyst. The patient subsequently developed hemodynamic collapse due to a \u201cdouble rupture\u201d phenomenon. Emergency CT angiography revealed a ruptured giant SAA (5.2\u00a0cm). Emergency laparotomy and splenectomy were performed successfully. This case illustrates the limitations of non-contrast CT in differentiating SAAs from cystic pancreatic lesions and reinforces the necessity of a low threshold for CT angiography in unexplained upper abdominal pain.<\/jats:p>","DOI":"10.1093\/jscr\/rjag440","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:33:48Z","timestamp":1779190428000},"source":"Crossref","is-referenced-by-count":0,"title":["Giant splenic artery aneurysm rupture mimicking a pancreatic pseudocyst: a diagnostic pitfall on non-contrast computed tomography"],"prefix":"10.1093","volume":"2026","author":[{"given":"Zhi-Ping","family":"Zhang","sequence":"first","affiliation":[{"name":"Emergency Department, Wuhan Asia General Hospital , 300 TaZi Lake North Road, Wuhan 430056 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,13]]},"reference":[{"key":"2026062506224637300_ref1","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1016\/j.jvs.2014.08.067","article-title":"Open repair, endovascular repair, and conservative management of true splenic artery aneurysms","volume":"60","author":"Hogendoorn","year":"2014","journal-title":"J Vasc Surg"},{"key":"2026062506224637300_ref2","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1007\/s10016-001-0207-4","article-title":"Splenic artery aneurysms: two decades experience at Mayo Clinic","volume":"16","author":"Abbas","year":"2002","journal-title":"Ann Vasc Surg"},{"key":"2026062506224637300_ref3","doi-asserted-by":"publisher","first-page":"472","DOI":"10.4065\/82.4.472","article-title":"Splanchnic artery aneurysms","volume":"82","author":"Pasha","year":"2007","journal-title":"Mayo Clin Proc"},{"key":"2026062506224637300_ref4","doi-asserted-by":"publisher","first-page":"992","DOI":"10.2214\/AJR.06.0794","article-title":"Splenic artery aneurysms and pseudoaneurysms: clinical distinctions and CT appearances","volume":"188","author":"Agrawal","year":"2007","journal-title":"AJR Am J Roentgenol"},{"key":"2026062506224637300_ref5","doi-asserted-by":"publisher","first-page":"e1016","DOI":"10.1097\/MD.0000000000001016","article-title":"Management of giant splenic artery aneurysm: comprehensive literature review","volume":"94","author":"Akbulut","year":"2015","journal-title":"Medicine (Baltimore)"},{"key":"2026062506224637300_ref6","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1016\/j.jvs.2010.10.055","article-title":"The contemporary management of splenic artery aneurysms","volume":"53","author":"Lakin","year":"2011","journal-title":"J Vasc Surg"},{"key":"2026062506224637300_ref7","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1007\/s100169910039","article-title":"Splenic artery aneurysm in the 1990s","volume":"14","author":"Dave","year":"2000","journal-title":"Ann Vasc Surg"},{"key":"2026062506224637300_ref8","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/j.jvs.2006.10.049","article-title":"The endovascular management of visceral artery aneurysms and pseudoaneurysms","volume":"45","author":"Tulsyan","year":"2007","journal-title":"J Vasc Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag440\/68609931\/rjag440.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag440\/68609931\/rjag440.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:22:54Z","timestamp":1782382974000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag440\/8707606"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag440","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag440"}}