Summary
A case of upper gastrointestinal bleeding secondary to rupture of a calcified splenic artery aneurysm into the stomach is reported. Upper gastrointestinal series revealed the aneurysm as a calcification adjacent to the stomach but it was not recognized as a source of bleeding until laparotomy. After operation the patient recovered completely.
Splenic artery aneurysm should be included in the differential diagnosis of upper gastrointestinal bleeding of obscure cause. This case suggests that a clinical prodrome of abdominal pain may occur.
Similar content being viewed by others
References
Spittel J, Fiarbairn J, Kincaid O: Aneurysm of the splenic artery. JAMA 175:425, 1961
Gun I: Ruptured splenic artery aneurysm. Illinois Med J 133:291, 1968
Schug J, Rankin RP Jr: Rupture of a splenic artery aneurysm in pregnancy. Report of a survivor and review of the literature. Obstet Gynec 25:717, 1965
Heggreit HA: Rupture of an aneurysm of the splenic artery. Canad Med Ass J 88:1290, 1963
X-ray Seminar, Number 29: An unusual cause of acute hematemesis. JAMA 186:790, 1963
Matyus L, Bodner E, Littman D: Ruptured aneurysm of the splenic artery. J Cardiov Surg 7:324, 1966
McLeod P, Maurio J: Rupture of splenic artery, associated with pregnancy. Lancet 1:924, 1940
Brewer W, Read R: Erosion of the splenic artery from gastric ulceration. Minnesota Med 49:69, 1966
Bergner L, Bentivegna S: Aneurysm of the splenic artery. Ann Surg 166:767, 1967
Author information
Authors and Affiliations
Additional information
Supported in part by the USPHS Training Grant AM-05095.
Rights and permissions
About this article
Cite this article
Hootkin, L.A., Cocco, A.E. Ruptured splenic artery aneurysm with resultant upper gastrointestinal bleeding. Digest Dis Sci 15, 848–850 (1970). https://doi.org/10.1007/BF02236047
Issue Date:
DOI: https://doi.org/10.1007/BF02236047