Splenic artery pseudoaneurysm with splenic infarction induced by a benign gastric ulcer: A case report. Issue 29 (July 2018)

• Record Type: Journal Article
• Authors: Cho, Soo Buem; Park, Sung Eun; Lee, Chang Min; Park, Ji-Ho; Baek, Hye Jin; Ryu, Kyeong Hwa; Moon, Jin Il; Choi, Bo Hwa; Ha, Ji Young; Lee, Sangmin
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 29(2018)
• Publication Date: 2018-07
• Subjects: embolization -- endovascular treatment -- pseudoaneurysm -- splenic artery; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000011589
• Languages: English
• ISSNs: 0025-7974

Abstract

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.