“…Indications for treatment of splenic artery aneurysms (SAA) have remained fairly stable in the time, including ruptured aneurysms, pseudoaneurysms or septic aneurysms, asymptomatic aneurysms in women of childbearing age and asymptomatic aneurysms of diameter > = 2 cm [ 1 ]. Methods of treatment, on the other hand have evolved, including now, beside open surgery, endovascular and laparoscopic treatment [ [1] , [2] , [3] , [4] , [5] , [6] ]. In particular, endovascular treatment is becoming more and more popular, thus progressively reducing indications for open repair.…”