A rare case report of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm

Author:

Dinh Luan Nguyen1,Duc Nguyen Minh23ORCID,Hong Son Nguyen4,Minh Hien Tran1ORCID,Anh Huy Le1,Tan Tai Nguyen1,Tran Kinh Bui1,Minh Loi Hoang5

Affiliation:

1. Department of Radiology, Gia Dinh Hospital, Ho Chi Minh City, Vietnam

2. Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam

3. Department of Radiology, Children’s Hospital 2, Ho Chi Minh City, Vietnam

4. Department of General Surgery, Gia Dinh Hospital, Ho Chi Minh City, Vietnam

5. Department of Radiology, Hue University of Medicine and Pharmacy, Hue, Vietnam

Abstract

Splenic artery aneurysm and splenic artery pseudoaneurysm are rare vascular pathologies. The splenic artery represents the third most common site for intra-abdominal aneurysms. In contrast with true splenic artery aneurysm, splenic artery pseudoaneurysm is typically symptomatic, presenting with a range of symptoms, from abdominal pain to hemodynamic instability due to rupture. However, gastrointestinal hemorrhage is an uncommon complication of splenic artery pseudoaneurysm. We report a case of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm rupture. The patient was successfully treated by endovascular intervention.

Publisher

SAGE Publications

Subject

General Medicine

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