scholarly journals A rare case report of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110619
Author(s):  
Nguyen Dinh Luan ◽  
Nguyen Minh Duc ◽  
Nguyen Hong Son ◽  
Tran Minh Hien ◽  
Le Anh Huy ◽  
...  
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Hemodynamic Instability ◽  
Splenic Artery Aneurysm ◽  
Upper Gastrointestinal Hemorrhage ◽  
Artery Pseudoaneurysm ◽  
Rare Case Report ◽  
Upper Gastrointestinal ◽  
Splenic Artery Pseudoaneurysm

Splenic artery aneurysm and splenic artery pseudoaneurysm are rare vascular pathologies. The splenic artery represents the third most common site for intra-abdominal aneurysms. In contrast with true splenic artery aneurysm, splenic artery pseudoaneurysm is typically symptomatic, presenting with a range of symptoms, from abdominal pain to hemodynamic instability due to rupture. However, gastrointestinal hemorrhage is an uncommon complication of splenic artery pseudoaneurysm. We report a case of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm rupture. The patient was successfully treated by endovascular intervention.

scholarly journals A case of splenic artery pseudoaneurysm rupture presenting as rectal bleeding in a regional hospital

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Jonathon N Holt ◽  
Heinrich E Schwalb
Keyword(s):  
Rectal Bleeding ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Regional Hospital ◽  
Alcoholic Pancreatitis ◽  
Chronic Alcoholic Pancreatitis ◽  
Chronic Alcoholic ◽  
Artery Pseudoaneurysm ◽  
Previous Trauma ◽  
Splenic Artery Pseudoaneurysm

Abstract Splenic artery pseudoaneurysm is a rare phenomenon most associated with chronic pancreatitis or previous trauma. Complications can include erosion and rupture into local structures, a situation that carries a reported mortality of 10–40%. A 58-year-old male with chronic alcoholic pancreatitis and a known splenic artery pseudoaneurysm presented to the emergency department of a regional hospital with rectal bleeding and sepsis. Computed tomography revealed a peri-splenic mass communicating with the splenic flexure. The patient was taken for an emergency splenectomy and left hemicolectomy and was confirmed to have rupture of the splenic artery aneurysm into the large bowel. This case presented with comparable features reported in the literature and demonstrates that access to emergency specialist surgical services in a regional setting offers the capability to manage rare, life threatening surgical emergencies.

scholarly journals Gastrointestinal Hemorrhage Due to Splenic Artery Aneurysm Pancreatic Duct Fistula in Chronic Pancreatitis

HPB Surgery ◽  
1993 ◽  
Vol 7 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Christian Seiler ◽  
Leslie H. Blumgart
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Gastrointestinal Hemorrhage ◽  
Splenic Artery ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Life Threatening ◽  
Threatening Situation

Gastrointestinal hemorrhage due to splenic artery aneurysm pancreatic duct fistula in chronic pancreatitis is rare. It is, however, important to diagnose this condition particularly in patients having chronic pancreatitis, since it may result in a life-threatening situation. The diagnosis is usually difficult to establish and it may take repeated admissions for intermittent gastrointestinal bleeding until the real source is recognized. Clinical attacks of epigastric pain followed by GI-bleeding 30–40 minutes later are characteristic. Occasionally these attacks are followed by transient jaundice. The present case report describes this rare complication and reviews the current literature.

Splenic Artery Pseudoaneurysm Causing Massive Hematemesis 10 Years After Necrotizing Pancreatitis

2020 ◽  
Vol 54 (5) ◽  
pp. 455-457
Author(s):  
Reuben Chen ◽  
Girish Pande ◽  
Mary Ann Johnson
Keyword(s):  
Computed Tomography ◽  
Splenic Artery ◽  
Necrotizing Pancreatitis ◽  
Hemodynamic Instability ◽  
Regional Hospital ◽  
Emergency Laparotomy ◽  
Artery Pseudoaneurysm ◽  
Tertiary Center ◽  
Massive Hematemesis ◽  
Splenic Artery Pseudoaneurysm

We report a case of a 54-year-old male presenting to a regional hospital with severe hematemesis and hemodynamic instability. His medical history was significant for a previous episode of alcoholic necrotizing pancreatitis and pseudocyst, requiring cystoenterostomy drainage and debridement 10 years prior. He underwent multiple gastroscopies and one emergency laparotomy which failed to definitively treat the bleeding. A splenic artery pseudoaneurysm was diagnosed with computed tomography angiography, adjacent to the previous cystoenterostomy site. The patient was transferred to a major tertiary center with access to interventional radiology and underwent successful embolization of the pseudoaneurysm.

ACUTE SEVERE UPPER GASTROINTESTINAL BLEEDING FROM EROSION OF THE SPLENIC ARTERY ANEURYSM, A CASE REPORT

2003 ◽  
Vol 98 ◽  
pp. S137-S138
Author(s):  
Andrew D. Guidroz ◽  
Subbaramiah Sridhar ◽  
Vinayasekhara Reddy ◽  
Urooj Ahmed ◽  
Urias Cuartas ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Splenic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Upper Gastrointestinal
Sign in / Sign up

Export Citation Format

Share Document