Giant splenic artery aneurysm presenting with massive upper gastrointestinal bleeding: A case report and review of literature

Abstract

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Life‐threatening gastrointestinal bleeding from splenic artery pseudoaneurysm due to gastric ulcer penetration treated by surgical hemostasis with resuscitative endovascular balloon occlusion of the aorta: A case report

“…To the best of our knowledge, there are only nine reported cases of SAPs caused by peptic ulcers. 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 Thus, for a patient with UGIB after pancreatitis or trauma, a ruptured SAP should be considered in the differential diagnosis. However, the diagnosis of SAP due to a peptic ulcer poses a significant challenge for a clinician.…”

“…To the best of our knowledge, only nine cases of SAP caused by peptic ulcers have been previously reported. 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 UGIB caused by a ruptured SAP presents a significant risk of patient survival because a mortality rate of up to 90% has been reported for untreated cases, 1 and the treatment strategies used can determine whether a patient survives or dies. The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) to control non‐traumatic bleeding has increased 11 , 12 , 13 ; however, REBOA has not been used in any case report of UGIB from an SAP that was caused by a peptic ulcer.…”

“…Among these reported cases, SAPs are most often caused by pancreatitis (52%) or trauma (29%) 2 and rarely by peptic ulcer disease. To the best of our knowledge, only nine cases of SAP caused by peptic ulcers have been previously reported 2–10 . UGIB caused by a ruptured SAP presents a significant risk of patient survival because a mortality rate of up to 90% has been reported for untreated cases, 1 and the treatment strategies used can determine whether a patient survives or dies.…”

Life-threatening gastrointestinal bleeding from splenic artery pseudoaneurysm due to gastric ulcer penetration treated by surgical hemostasis with resuscitative endovascular balloon occlusion of the aorta: a case report

“…To the best of our knowledge, there are only nine reported cases of SAPs caused by peptic ulcers. [2][3][4][5][6][7][8][9][10] Thus, for a patient with UGIB after pancreatitis or trauma, a ruptured SAP should be considered as a differential diagnosis. However, the diagnosis of SAP due to a peptic ulcer poses a significant challenge for a clinician.…”

“…To the best of our knowledge, only nine cases of SAPs caused by peptic ulcers have been previously reported. [2][3][4][5][6][7][8][9][10] UGIB caused by a ruptured SAP presents a significant risk for patient survival, since a mortality rate of up to 90% has been reported for untreated cases 1 and the treatment strategies used can determine whether a patient lives or dies. The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) to control non-traumatic bleeding has increased [11][12][13] ; however, REBOA has not been used in any case report of UGIB from a SAP that was caused by a peptic ulcer.…”