Cho SB, Park SE, Lee CM, Park JH, Baek HJ, Ryu KH, Moon JI, Choi BH, Ha JY, Lee S. Splenic artery pseudoaneurysm with splenic infarction induced by a benign gastric ulcer: A case report.
Medicine (Baltimore) 2018;
97:e11589. [PMID:
30024561 PMCID:
PMC6086524 DOI:
10.1097/md.0000000000011589]
[Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE
Splenic artery pseudoaneurysm induced by benign gastric ulcer is extremely rare and can lead to a fatal clinical situation. To the best of our knowledge, there are only five cases in the literature review. Therefore, it can be a diagnostic challenge for radiologists and clinicians because of rare incidence.
PATIENT CONCERNS
The patient visited our hospital due to melena and dizziness.
DIAGNOSES
The patient showed a huge ulcer and an exposed vessel in the posterior wall of the gastric high body during endoscopy. Angiography revealed a pseudoaneurysm of the splenic artery and contrast extravasation into the gastric lumen.
INTERVENTIONS
We performed coil embolization of splenic artery and gastrectomy.
OUTCOMES
Postprocedural course was uneventful and led to patient discharge on day 8.
LESSONS
We suggest that the splenic artery pseudoaneurysm should be considered differential diagnosis in the patients with acute upper gastrointestinal bleeding, and the presence of a splenic infarction may provide a diagnostic clue.
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