Intragastric Rupture of a Splenic Artery Aneurysm Associated with a Pancreatic Cancer.

Aman Toukouki,N Verbeeck ,Jean-Marie Weber ,V Lens

doi:10.5334/jbr-btr.1008

Aman Toukouki, N Verbeeck + Show 2 more

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https://doi.org/10.5334/jbr-btr.1008

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Abstract

Acute upper digestive tract hemorrhage most often arises from gastric and esophageal vessels located in the mucosa or the submucosa. Rupture in the upper gastrointestinal tract is a classical but uncommon complication of arterial (mainly the abdominal aorta) aneurysms. Splenic artery aneurysm usually ruptures in the peritoneum, unless it is associated with a disease eroding the gastrointestinal wall. We present and describe the management of the rare occurrence of an intragastric rupture of a splenic aneurysm associated with a pancreatic cancer.

Highlights

Acute upper digestive tract hemorrhage (UDTH) is a lifethreatening condition with multiple causes, mostly arising from the rupture of vessels in the esophageal or gastric submucosa or mucosa
When endoscopy fails to contribute to the diagnosis, intravenous contrast-enhanced computed tomography (CT) may help in identifying unsuspected causative lesions and facilitate surgical or endovascular treatment
We present an uncommon case of UDTH, where bleeding arose from the intragastric rupture of a splenic artery aneurysm (SAA) after erosion by a pancreatic cancer

Summary

CASE REPORT

Intragastric Rupture of a Splenic Artery Aneurysm Associated with a Pancreatic Cancer. Acute upper digestive tract hemorrhage most often arises from gastric and esophageal vessels located in the mucosa or the submucosa. Rupture in the upper gastrointestinal tract is a classical but uncommon complication of arterial (mainly the abdominal aorta) aneurysms. Splenic artery aneurysm usually ruptures in the peritoneum, unless it is associated with a disease eroding the gastrointestinal wall. We present and describe the management of the rare occurrence of an intragastric rupture of a splenic aneurysm associated with a pancreatic cancer. Publisher’s Note This article was originally published without the text content, which was added shortly after.

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