Although endovascular techniques are highly developed, conventional open surgical treatment remains the gold-standard to approach splenic artery aneurysms( 10 ) mainly giant aneurysms such as the one reported in this case. Patients with intact aneurysm have low morbidity and mortality, and complete resolution with no need of later control. The open approach is complex and constitutes a true challenge to the surgical team, because of the impossibility to approach celiac artery by an anterior route due to the presence of large putative mass. Our case resemble the one reported by Yadav et al.,( 10 ) in which the patient had good general condition, lack of pancreatic disease, large size aneurysm, and who underwent open surgical treatment. However, distal aneurysm site in artery and decision of totally resection led Yaday and colleagues to perform an aneurysmectomy associated with splenectomy and caudal pancreatectomy, which constitutes a more aggressive surgical intervention than the one used in our case. We used only a partial aneurysmectomy with presentation of aneurysmatic sac wall adhered to pancreas – the approach adopted by Pescarus et al.,( 1 ) in a similar case.