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01 February 2012

Massive bleeeding from upper gastrointestinal tract as a symptom of rupture of splenic artery aneurysm to stomach

Tomasz WierzbickiADEF, Jacek SzmejaACG, Maciej Borejsza-WysockiBC, Michał MęczyńskiC, Piotr SmuszkiewiczC, Katarzyna KatulskaDE, Michał DrewsAG

DOI: 10.12659/MSM.882453

Med Sci Monit 2012; 18(2): CS8-11

Abstract

Background: Splenic artery aneurysm is the most common aneurysm of visceral vessels. Their rupture usually leads to massive bleeding, being a direct life threat. Splenic artery aneurysms usually rupture into the free peritoneal cavity, and much less frequently into the lumen of the gastrointestinal tract.
Case Report: We describe the case of a 38-year-old male patient, who, as a result of chronic pancreatitis, developed a false aneurysm of the splenic artery, which initially caused necrosis of the large intestine and bleeding into its lumen, and subsequently necrosis of the posterior stomach wall with the aneurysm rupture to the stomach lumen with a dramatic course.
Conclusions: The case described confirms that splenic artery aneurysm can be a cause of bleeding to both upper and lower parts of the gastrointestinal tract, and the aneurysm rupture is usually of a dramatic and life-threatening course.

Keywords: Splenic Artery - pathology, Gastrointestinal Hemorrhage - etiology, Aneurysm - complications

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750