Massive bleeeding from upper gastrointestinal tract as a symptom of rupture of splenic artery aneurysm to stomach

Splenic artery aneurysm is the most common aneurysm of visceral vessels. Their rupture usually leads to massive bleeding, being a direct life threat. Splenic artery aneurysms usually rupture into the free peritoneal cavity, and much less frequently into the lumen of the gastrointestinal tract. We de...

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Bibliographic Details
Published in:Medical science monitor 2012-02, Vol.18 (2), p.CS8-CS11
Main Authors: Wierzbicki, Tomasz, Szmeja, Jacek, Borejsza-Wysocki, Maciej, Męczyński, Michał, Smuszkiewicz, Piotr, Katulska, Katarzyna, Drews, Michał
Format: Article
Language:English
Subjects:
Adult
Aneurysm - complications
Case Study
Gastrointestinal Hemorrhage - etiology
Humans
Male
Splenic Artery - pathology
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Summary:Splenic artery aneurysm is the most common aneurysm of visceral vessels. Their rupture usually leads to massive bleeding, being a direct life threat. Splenic artery aneurysms usually rupture into the free peritoneal cavity, and much less frequently into the lumen of the gastrointestinal tract. We describe the case of a 38-year-old male patient, who, as a result of chronic pancreatitis, developed a false aneurysm of the splenic artery, which initially caused necrosis of the large intestine and bleeding into its lumen, and subsequently necrosis of the posterior stomach wall with the aneurysm rupture to the stomach lumen with a dramatic course. The case described confirms that splenic artery aneurysm can be a cause of bleeding to both upper and lower parts of the gastrointestinal tract, and the aneurysm rupture is usually of a dramatic and life-threatening course.
ISSN:1234-1010
1643-3750
DOI:10.12659/MSM.882453