INTRODUCTIONSplenic artery aneurysm is a rare condition, however, potentially fatal. The importance of splenic artery aneurysm lies in the risk for rupture and life threatening hemorrhage.PRESENTATION OF CASEThis is a case of a ruptured splenic artery aneurysm in a 58-year-old lady. She presented with hypovolemic shock and intra-peritoneal bleeding. Diagnosis was confirmed by CT angiography and she was managed by operative ligation of the aneurysm with splenectomy and distal pancreatectomy.DISCUSSIONThe literature pointed the presence of some risk factors correlating to the development of splenic artery aneurysm. In this article we discuss a rare case of spontaneous (idiopathic) splenic artery aneurysm and review the literature of this challenging surgical condition.CONCLUSIONSplenic artery aneurysm needs prompt diagnosis and management to achieve a favorable outcome, high index of suspicion is needed to make the diagnosis in the absence of known risk factors.

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Atresia of the colon is a rare form among all types of intestinal atresia.  Further, the association between colonic atresia and aganglionosis is extremely rare; it may be easily overlooked due to the associated distal microcolon.  Management of a case of colonic atresia with distal aganglionosis presented with anastomotic leak due to unsuspected aganglionosis was discussed.

Stercoral perforation of the rectum is a rare disease. It is a potentially fatal complication of untreated chronic constipation. Presenting symptoms and signs are variable according to the site of the perforation. A 60-year-old male patient presented to the emergency room with dizziness and decreased level of consciousness. He was admitted for management under care of medical team as a case of urosepsis. Two days after admission he developed picture of Fournier gangrene. The underlying cause was found to be rectal perforation. Stercoral perforation is an emergency that can be missed if not highly suspected. We present a case of stercoral rectal perforation with picture of urosepsis and Fournier gangrene as presenting symptoms. Stercoral perforation is a potentially fatal disease with unspecific presentations that need to be highly suspected in patients with chronic constipation and severe sepsis.