Abstract
症例は58歳，女性．吐血を主訴にショック状態で救急搬送された．緊急上部消化管内視鏡で胃体下部後壁にForrest IIb潰瘍を認めた．多量の血腫を認め，動脈性の出血と考えられたが，膵臓への穿通が疑われclippingは行わなかった．腹部CTで脾動脈瘤の胃穿破と診断し，緊急IVRとなった．脾動脈瘤に対してコイル塞栓を行い止血した．脾動脈瘤の中でも胃に穿通する例は稀である．
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