Other endovascular treatment option, in cases that aneurysm affect proximal and medial segments of splenic artery, comprises the implantation of endoprosthesis to preserve irrigation of spleen and promote exclusion of aneurysm. However, accentuated tortuosity of artery can avoid the implantation, although there are successful reports using this technique.( 8 ) In our case, implantation of endoprosthesis was not considered because there was no proximal neck of splenic artery for endoprosthesis fixation.