Abstract
A 74-year-old man presented with upper abdominal pain. Abdominal computed tomography scan revealed a huge splenic artery aneurysm (19 cm) with no evidence of rupture. Because of the tumor size and destruction of the vascular dimension, we performed resection of the distal pancreas and spleen. The histopathologic findings revealed arteriosclerosis and severe destruction of the vascular dimension. After the operation, he improved and was discharged from the hospital on the 80th post-operative day. As giant splenic artery aneurysms are very rare, we report this case with a review of the literature.