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. 2022 Aug 2;8(1):148.
doi: 10.1186/s40792-022-01498-3.

Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy

Chihiro Yoshikawa  1 , Ichiro Yamato  2 , Yasuyuki Nakata  2 , Tadashi Nakagawa  2 , Takashi Inoue  2 , Mitsuhiro Nakatani  2 , Daiki Nezu  2 , Shunsuke Doi  2 , Yasuhiro Kuroda  2 , Kazuki Fujii  2 , Shouhei Kishida  2 , Midori Kamikubo  2 , Saiho Ko  2
Affiliations

Giant splenic artery aneurysm rupture into the stomach that was successfully managed with emergency distal pancreatectomy

Chihiro Yoshikawa et al. Surg Case Rep. .

Erratum in

Abstract

Background: Splenic artery aneurysms usually rupture into the free peritoneal space and rarely into the gastrointestinal tract. We report the case of a patient with a giant splenic artery aneurysm that ruptured in to the stomach with hemorrhagic shock and was successfully treated with emergency surgery.

Case presentation: A 59-year-old man presented to the emergency department with chest pain and syncope. Contrast-enhanced computed tomography showed splenic artery aneurysm with active contrast extravasation. He developed upper gastrointestinal (UGI) bleeding and hypovolemic shock. We diagnosed a splenic artery aneurysm ruptured in to the stomach, performed emergency distal splenopancreatectomy including the aneurysm and partial gastric resection, and could prevent patient death.

Conclusions: This report shows that splenic artery aneurysm can cause UGI bleeding. Thus, clinicians should be alert about this condition when managing patients with UGI bleeding and/or splenic artery aneurysm.

Keywords: Case report; Emergency surgery; Hemorrhagic shock; Splenic artery aneurysm; Upper gastrointestinal bleeding.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Abdominal contrast-enhanced computed tomography findings. a Splenic artery aneurysm (SAA) (10 cm in maximum diameter) with extravasation of contrast from the splenic artery. The red arrow indicates the SAA, and the yellow arrow indicates the stomach. b SAA in close communication with the posterior wall of the stomach. The red arrow indicates the SAA, and the yellow arrow indicates the stomach
Fig. 2
Fig. 2
Intraoperative findings. A splenic artery aneurysm wall densely adhered to the posterior wall of the stomach
Fig. 3
Fig. 3
Macroscopic findings. a Splenic artery aneurysm (SAA) with body–tail of the pancreas and the spleen. A part of the stomach wall was resected with the SAA. b The lumen of the splenic artery aneurysm (black arrow) Point of communication with the stomach (white arrow)
See this image and copyright information in PMC

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