Aneurysms of the splenic artery originating anomalously from the superior mesenteric artery are extremely rare; however, they are clinically important because of the potential for fatal rupture and particular anatomical location. Most previous cases were managed by open surgical intervention. We present a case of an anomalous splenic artery aneurysm, which was successfully treated with endovascular stent graft placement and coil embolization. This appears to be a promising minimally invasive approach to manage this rare entity. Also, we review the literature of aneurysms of the splenic artery arising from the superior mesenteric artery.