Ruptured splenic artery aneurysm (SAA), rare in the emergency department (ED), is a cause of hypotension and abdominal pain.Physicians should consider the possibility of Play Vehicles this condition especially in patients with abdominal Gargoyles pain and hypotension.In this paper, we report the case of a patient with ruptured SAA presenting to the ED as an intraabdominal catastrophe and review the key features of this entity.