Korean J Helicobacter Up Gastrointest Res.  2012 Sep;12(3):192-194. 10.7704/kjhugr.2012.12.3.192.

A Case of Giant Splenic Pseudoaneurysmal Rupture with a Gastric Fistula

Affiliations
  • 1Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. Chowhang@catholic.ac.kr

Abstract

Visceral artery pseudoaneurysms are uncommon. The splenic artery is the most commonly affected visceral artery. They usually develop secondary to chronic pancreatitis. Only 20 cases of giant pseudoaneurysms, defined as psedoaneurysms equal to, or greater than, 5 cm in sized, have been reported until now. Pseudoaneurysmal rupture can manifest as gastrointestinal bleeding. In this case, hemosuccus pancreaticus which means fistula to pancreatic duct, and hemorrhage in stomach, duodenum, or adjacent gastrointestinal track which result from fistula to gastrointestinal track are two main symptoms that develop. Both of them require immediate operation or transcatheter embolization. We herein describe the case of a giant splenic pseudoanerysmal rupture with gastric fistula in a patient who presented with hematemesis.

Keyword

Splenic artery; Aneurysm, False; Pancreatitis, Chronic

MeSH Terms

Aneurysm, False
Arteries
Duodenum
Fistula
Gastric Fistula
Hematemesis
Hemorrhage
Humans
Pancreatic Ducts
Pancreatitis, Chronic
Rupture
Splenic Artery
Stomach
Track and Field
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