Splenic artery pseudoaneurysm resulting from gastric ulcer presenting acute upper gastrointestinal bleeding

Taiki Okumura, MD; Takefumi Kimura, MD, PhD; Daichi Nakajima, MD; Shohei Kondo, MD; Satoko Kako, MD; Yoshiyuki Takahashi, MD; Kosuke Yamaka, MD; Fumihito Ichinohe, MD; Yoshinori Tsukahara, MD; Tadanobu Nagaya, MD, PhD; Takeji Umemura, MD, PhD

Radiology Case Reports (Jan 2023)

Splenic artery pseudoaneurysm resulting from gastric ulcer presenting acute upper gastrointestinal bleeding

Taiki Okumura, MD,
Takefumi Kimura, MD, PhD,
Daichi Nakajima, MD,
Shohei Kondo, MD,
Satoko Kako, MD,
Yoshiyuki Takahashi, MD,
Kosuke Yamaka, MD,
Fumihito Ichinohe, MD,
Yoshinori Tsukahara, MD,
Tadanobu Nagaya, MD, PhD,
Takeji Umemura, MD, PhD

Affiliations

Taiki Okumura, MD: Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan
Takefumi Kimura, MD, PhD: Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan; Consultation Center for Liver Diseases, Shinshu University Hospital, Matsumoto, Japan
Daichi Nakajima, MD: Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan
Shohei Kondo, MD: Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan
Satoko Kako, MD: Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan
Yoshiyuki Takahashi, MD: Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan
Kosuke Yamaka, MD: Division of Nephrology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan
Fumihito Ichinohe, MD: Department of Radiology, Shinshu University School of Medicine, Matsumoto, Japan
Yoshinori Tsukahara, MD: Department of Radiology, Shinshu University School of Medicine, Matsumoto, Japan
Tadanobu Nagaya, MD, PhD: Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan
Takeji Umemura, MD, PhD: Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan; Consultation Center for Liver Diseases, Shinshu University Hospital, Matsumoto, Japan

Journal volume & issue: Vol. 18, no. 1
pp. 97 – 99

Abstract

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Splenic artery pseudoaneurysm (SAP) is a rare entity, which occurs when the arterial wall is composed only of the intima and media mainly caused by pancreatitis, or abdominal trauma. Regardless of size, SAP is a high mortality disease that carries a high risk of rupture, causing abdominal pain and severe pancreatic and gastrointestinal bleeding. Here, we describe a rare case of SAP rupture caused by a large gastric ulcer due to Helicobacter pylori infection and NSAIDs use. Understanding the characteristic enhanced CT images of SAP, the complications of splenic infarction, and the therapeutic efficacy of arterial embolization is essential for the clinician to properly diagnose and treat SAP.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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