A Case of Gastric Ulcer Bleeding by Direct Connection to the Splenic Artery

Jang, Pil Kyu; Kim, Yoon Jae; Park, Dong Kyun; Han, Jung Yoon; Park, Pyung Hwa; Kim, Si Hun; Woo, Hyun Sun; Kim, Jeong Ho

doi:2014.14.3.211

Korean J Helicobacter Up Gastrointest Res > Volume 14(3); 2014 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2014;14(3):211-214.
DOI: https://doi.org/10.7704/kjhugr.2014.14.3.211 Published online September 10, 2014.

A Case of Gastric Ulcer Bleeding by Direct Connection to the Splenic Artery

Pil Kyu Jang, Yoon Jae Kim, Dong Kyun Park, Jung Yoon Han, Pyung Hwa Park, Si Hun Kim, Hyun Sun Woo, Jeong Ho Kim

¹Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea. yoonmed@gachon.ac.kr
²Department of Radiology, Gachon University Gil Medical Center, Incheon, Korea.

위궤양과 연관된 비장동맥 출혈 1예

장필규, 김윤재, 박동균, 한정윤, 박평화, 김시훈, 우현선, 김정호¹

가천대 길병원 내과, 영상의학과¹

Abstract

Gastric ulcer bleeding is commonly encountered in emergency situations for gastroenterologist. Usually depth of gastric ulcer does not exceed the muscle layer. We report a case of a 67-year-old male with massive gastric ulcer bleeding caused by direct connection to the splenic artery. Bleeding control was not effectively performed by endoscopy due to massive bleeding with unstable vital sign. Angiography for embolization was performed. Active extravasation of contrast agents at the splenic artery stenosis was noted on splenic arteriogram. Bleeding stopped after embolization with histoacryl and lipiodol was successfully performed. After 1 month, complete ulcer healing was confirmed by follow up endoscopy. There was no evidence of invasive disease on biopsy.

Key Words: Splenic artery; Stomach ulcer