A Case of Giant Splenic Pseudoaneurysmal Rupture with a Gastric Fistula

Lee, Seong Jin; Cho, Se Hyun; Kim, Hyun Jin; Jeon, Joon Han; Lee, Hyun Jeong; Cheung, Dae Young; Kim, Jin Il; Park, Soo Heon

doi:2012.12.3.192

Korean J Helicobacter Up Gastrointest Res > Volume 12(3); 2012 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(3):192-194.
DOI: https://doi.org/10.7704/kjhugr.2012.12.3.192 Published online September 10, 2012.

A Case of Giant Splenic Pseudoaneurysmal Rupture with a Gastric Fistula

Seong Jin Lee, Se Hyun Cho, Hyun Jin Kim, Joon Han Jeon, Hyun Jeong Lee, Dae Young Cheung, Jin Il Kim, Soo Heon Park

Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. Chowhang@catholic.ac.kr

위와 누공을 형성한 거대 비장동맥 가성동맥류 출혈 1예

이성진, 조세현, 김현진, 전준한, 이현정, 정대영, 김진일, 박수헌

가톨릭대학교 의과대학 내과학교실

Abstract

Visceral artery pseudoaneurysms are uncommon. The splenic artery is the most commonly affected visceral artery. They usually develop secondary to chronic pancreatitis. Only 20 cases of giant pseudoaneurysms, defined as psedoaneurysms equal to, or greater than, 5 cm in sized, have been reported until now. Pseudoaneurysmal rupture can manifest as gastrointestinal bleeding. In this case, hemosuccus pancreaticus which means fistula to pancreatic duct, and hemorrhage in stomach, duodenum, or adjacent gastrointestinal track which result from fistula to gastrointestinal track are two main symptoms that develop. Both of them require immediate operation or transcatheter embolization. We herein describe the case of a giant splenic pseudoanerysmal rupture with gastric fistula in a patient who presented with hematemesis.

Key Words: Splenic artery; Aneurysm, False; Pancreatitis, Chronic