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

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 s...

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Detalles Bibliográficos
Autores principales: Okumura, Taiki, Kimura, Takefumi, Nakajima, Daichi, Kondo, Shohei, Kako, Satoko, Takahashi, Yoshiyuki, Yamaka, Kosuke, Ichinohe, Fumihito, Tsukahara, Yoshinori, Nagaya, Tadanobu, Umemura, Takeji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619333/
https://www.ncbi.nlm.nih.gov/pubmed/36324839
http://dx.doi.org/10.1016/j.radcr.2022.09.105
Descripción
Sumario: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.

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