scholarly journals Unusual Case of Life-Threatening Gastro Intestinal Bleed from a Splenic Artery Pseudoaneurysm: Case Report and Review of Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Puneet Menaria ◽  
Venkata Muddana

Large upper gastro intestinal (GI) bleeding can be life-threatening. Splenic artery pseudoaenurysm (SAP) is rare but can cause massive upper GI bleeding. We report a case of a 57-year-old woman who had massive upper GI bleeding from SAP eroding into distal duodenum. Literature review shows SAP can bleed into stomach or pancreatic pseudocyst or biliary tree and peritoneal cavity; however, there are no previous reported cases of SAP bleeding into distal duodenum. Splenic artery embolization (SAE) is the preferred treatment for a bleeding SAP. Splenic infarcts can result following a SAE.

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Zo C. Overton-Hennessy ◽  
A. Michael Devane ◽  
Steve Fiester ◽  
Noah Schammel ◽  
Christine Schammel ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Sudhir Kumar Jain ◽  
Vishnuraja Rajendran ◽  
Maneesh K. Jain ◽  
Ronal Kori

Hemorrhage into pseudocyst of pancreas can rarely present as life threatening massive UGI bleeding. We present a case of 21-year-old male, admitted to our department, who was a known case of posttraumatic acute pancreatitis and who developed massive upper GI bleeding. CT angiography of abdomen showed aneurysm of gastroduodenal artery. Patient was successfully treated with coil embolization of gastroduodenal artery.


2016 ◽  
Vol 88 (6) ◽  
Author(s):  
Jerzy Szpakowicz ◽  
Paulina Szpakowicz ◽  
Andrzej Urbanik ◽  
Leszek Markuszewski

AbstractPseudocysts account for approximately 70% of all cystic lesions of the pancreas. One of the most dangerous complications of pancreatic pseudocysts is bleeding into the cystic lumen; the most common cause of the bleeding is a splenic artery pseudoaneurysm rupture. This paper presents the case of a 37-year-old man treated surgically for a massive intra–abdominal haemorrhage caused by a splenic artery pseudoaneurysm rupture into the lumen of a tail of pancreas pseudocyst with its subsequent perforation into the abdominal cavity and retroperitoneal space. Peripheral resection of the pancreas together with the cyst and spleen resection was performed. There were no postoperative complications.


2018 ◽  
Vol 100 (1) ◽  
pp. e15-e17 ◽  
Author(s):  
JF Ball ◽  
L Sreedharan ◽  
S Reddy ◽  
BHL Tan ◽  
V Sujendran

Delayed gastrointestinal bleeding in the context of a gastric fistula is a very rare complication of longitudinal sleeve gastrectomy. We report the case of a patient who presented with massive gastrointestinal bleeding from a pseudoaneurysm arising from the splenic artery following complications after a longitudinal sleeve gastrectomy several months previously. The case was successfully managed with angiographic embolisation and we present our experience with recommendations for managing this rare but life-threatening complication.


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