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Medicine (Baltimore). 2018 Jul;97(29):e11589. doi: 10.1097/MD.0000000000011589.

Splenic artery pseudoaneurysm with splenic infarction induced by a benign gastric ulcer: A case report.

Author information

1
Department of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon.
2
Department of Internal Medicine.
3
Department of Surgery.
4
Department of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Korea.

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.

PMID:
30024561
PMCID:
PMC6086524
DOI:
10.1097/MD.0000000000011589
[Indexed for MEDLINE]
Free PMC Article

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