Aneurysms of the superior mesenteric artery branches are rare. Spontan
eous intra-abdominal hemorrhage resulting from rupture of a visceral a
rtery aneurysm is difficult to diagnose and carries high mortality. We
present a case in which a rupture of the right colic artery aneurysm
presented as an acute abdomen. Diagnosis was established intraoperativ
ely. Angiography and a high degree of suspicion are valuable diagnosti
c tools. Exact etiology was not determined in our case. Because of hig
h risk of rupture, aneurysms of the superior mesenteric artery branche
s should be resected.