Splenic artery aneurysms (SAAs) account for more than half of all visceral artery aneurysms. SAAs are the third most common intraabdominal aneurysm. Although SAAs is rare but are potentially life threatening . It can cause complications, such as spontaneous intraperitoneal rupture, into the neighbouring hollow organs, and fistulisation into the pancreatic duct.
In a small SAAs (2 cm) are asymptomatic, and are diagnosed incidentally by radiological. Meanwhile giant SAAs (5 cm) present symptomatic and can result in complications. A 47 year old woman with underlying connective tissue disease presented with symptomatic abdominal pain and noted to have a giant splenic artery aneurysm. We proceeded with splenectomy and successfulaneurysmectomy of splenic artery with using Powered Vascular stapler gun. In our knowledge and literature review, a giant splenic artery aneurysmectomy by using a powered vascular stapler gun is not commonly practiced. Most importantly, as this is connective tissue disease patient, her safety requires technical experience and PVS is safe measure to be used even in a giant splenic artery aneurysm measuring up to 5 cm.