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Splenic artery pseudoaneurysm with splenic infarction induced by a benign gastric ulcer: A case report

Splenic artery pseudoaneurysm with splenic infarction induced by a benign gastric ulcer: A case report

Medicine 97(29): E11589

Splenic artery pseudoaneurysm induced by benign gastric ulcer is extremely rare and can lead to a fatal clinical situation. To the best of our knowledge, there are only five cases in the literature review. Therefore, it can be a diagnostic challenge for radiologists and clinicians because of rare incidence. The patient visited our hospital due to melena and dizziness. The patient showed a huge ulcer and an exposed vessel in the posterior wall of the gastric high body during endoscopy. Angiography revealed a pseudoaneurysm of the splenic artery and contrast extravasation into the gastric lumen. We performed coil embolization of splenic artery and gastrectomy. Postprocedural course was uneventful and led to patient discharge on day 8. We suggest that the splenic artery pseudoaneurysm should be considered differential diagnosis in the patients with acute upper gastrointestinal bleeding, and the presence of a splenic infarction may provide a diagnostic clue.

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Accession: 065529224

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PMID: 30024561

DOI: 10.1097/md.0000000000011589

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