Splenic artery aneurysms are rare vascular abnormalities that can present diagnostic challenges due to their varied clinical manifestations. We present a case report of a splenic artery aneurysm misinterpreted as a gastrointestinal disorder. A 42-year-old female patient presented with recurrent abdominal pain and gastrointestinal symptoms. Initial diagnostic workup, including imaging studies and laboratory tests, suggested a gastrointestinal digestion issue. However, further evaluation with contrast-enhanced computed tomography revealed the presence of a splenic artery aneurysm. The patient underwent successful endovascular coil embolization to manage the aneurysm. This case highlights the importance of considering splenic artery aneurysms in the differential diagnosis of abdominal pain and gastrointestinal symptoms, even when initial evaluations point towards a digestive disorder. Additionally, we provide a review of the relevant literature on splenic artery aneurysms, emphasizing their clinical presentation, diagnosis, and management options. Increased awareness and early recognition of this condition can lead to timely intervention and prevent potential complications associated with splenic artery aneurysms.
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