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Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy

BACKGROUND: Splenic artery aneurysms usually rupture into the free peritoneal space and rarely into the gastrointestinal tract. We report the case of a patient with a giant splenic artery aneurysm that ruptured in to the stomach with hemorrhagic shock and was successfully treated with emergency surg...

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Autores principales: Yoshikawa, Chihiro, Yamato, Ichiro, Nakata, Yasuyuki, Nakagawa, Tadashi, Inoue, Takashi, Nakatani, Mitsuhiro, Nezu, Daiki, Doi, Shunsuke, Kuroda, Yasuhiro, Fujii, Kazuki, Kishida, Shouhei, Kamikubo, Midori, Ko, Saiho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9343537/
https://www.ncbi.nlm.nih.gov/pubmed/35915344
http://dx.doi.org/10.1186/s40792-022-01498-3
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author Yoshikawa, Chihiro
Yamato, Ichiro
Nakata, Yasuyuki
Nakagawa, Tadashi
Inoue, Takashi
Nakatani, Mitsuhiro
Nezu, Daiki
Doi, Shunsuke
Kuroda, Yasuhiro
Fujii, Kazuki
Kishida, Shouhei
Kamikubo, Midori
Ko, Saiho
author_facet Yoshikawa, Chihiro
Yamato, Ichiro
Nakata, Yasuyuki
Nakagawa, Tadashi
Inoue, Takashi
Nakatani, Mitsuhiro
Nezu, Daiki
Doi, Shunsuke
Kuroda, Yasuhiro
Fujii, Kazuki
Kishida, Shouhei
Kamikubo, Midori
Ko, Saiho
author_sort Yoshikawa, Chihiro
collection PubMed
description BACKGROUND: Splenic artery aneurysms usually rupture into the free peritoneal space and rarely into the gastrointestinal tract. We report the case of a patient with a giant splenic artery aneurysm that ruptured in to the stomach with hemorrhagic shock and was successfully treated with emergency surgery. CASE PRESENTATION: A 59-year-old man presented to the emergency department with chest pain and syncope. Contrast-enhanced computed tomography showed splenic artery aneurysm with active contrast extravasation. He developed upper gastrointestinal (UGI) bleeding and hypovolemic shock. We diagnosed a splenic artery aneurysm ruptured in to the stomach, performed emergency distal splenopancreatectomy including the aneurysm and partial gastric resection, and could prevent patient death. CONCLUSIONS: This report shows that splenic artery aneurysm can cause UGI bleeding. Thus, clinicians should be alert about this condition when managing patients with UGI bleeding and/or splenic artery aneurysm.
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spelling pubmed-93435372022-08-03 Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy Yoshikawa, Chihiro Yamato, Ichiro Nakata, Yasuyuki Nakagawa, Tadashi Inoue, Takashi Nakatani, Mitsuhiro Nezu, Daiki Doi, Shunsuke Kuroda, Yasuhiro Fujii, Kazuki Kishida, Shouhei Kamikubo, Midori Ko, Saiho Surg Case Rep Case Report BACKGROUND: Splenic artery aneurysms usually rupture into the free peritoneal space and rarely into the gastrointestinal tract. We report the case of a patient with a giant splenic artery aneurysm that ruptured in to the stomach with hemorrhagic shock and was successfully treated with emergency surgery. CASE PRESENTATION: A 59-year-old man presented to the emergency department with chest pain and syncope. Contrast-enhanced computed tomography showed splenic artery aneurysm with active contrast extravasation. He developed upper gastrointestinal (UGI) bleeding and hypovolemic shock. We diagnosed a splenic artery aneurysm ruptured in to the stomach, performed emergency distal splenopancreatectomy including the aneurysm and partial gastric resection, and could prevent patient death. CONCLUSIONS: This report shows that splenic artery aneurysm can cause UGI bleeding. Thus, clinicians should be alert about this condition when managing patients with UGI bleeding and/or splenic artery aneurysm. Springer Berlin Heidelberg 2022-08-02 /pmc/articles/PMC9343537/ /pubmed/35915344 http://dx.doi.org/10.1186/s40792-022-01498-3 Text en © The Author(s) 2022, corrected publication 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Yoshikawa, Chihiro
Yamato, Ichiro
Nakata, Yasuyuki
Nakagawa, Tadashi
Inoue, Takashi
Nakatani, Mitsuhiro
Nezu, Daiki
Doi, Shunsuke
Kuroda, Yasuhiro
Fujii, Kazuki
Kishida, Shouhei
Kamikubo, Midori
Ko, Saiho
Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy
title Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy
title_full Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy
title_fullStr Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy
title_full_unstemmed Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy
title_short Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy
title_sort giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9343537/
https://www.ncbi.nlm.nih.gov/pubmed/35915344
http://dx.doi.org/10.1186/s40792-022-01498-3
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