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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Intragastric rupture of a splenic artery aneurysm - a case report

Abdelmalek Ousadden1, Karim H Ibnmajdoub, Hicham Elbouhaddouti

  • 1Service de chirurgie générale - Hôpital des spécialités - CHU de Fès - Route de Sidi Harazem - Fès - 30070 - Morocco.

Cases Journal
|January 12, 2010
PubMed

Insights

Intragastric rupture of a splenic artery aneurysm is a rare but life-threatening emergency. Prompt diagnosis and surgical intervention are crucial for successful management and preventing fatal outcomes.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Emergency Medicine

Background:

  • Hematemesis, or vomiting blood, can be caused by rare but critical conditions.
  • Intragastric rupture of a splenic artery aneurysm is an exceptional cause of severe gastrointestinal bleeding.

Purpose of the Study:

  • To report a rare case of intragastric splenic artery aneurysm rupture presenting as hematemesis.
  • To highlight the importance of timely diagnosis and surgical management in such emergencies.

Main Methods:

  • A case report of a 36-year-old woman presenting with hematemesis.
  • Diagnostic procedures included gastric endoscopy.
  • Surgical management involved resection of the aneurysm, splenectomy, and gastric repair.

Main Results:

  • Gastric endoscopy initially suggested a bleeding polypoid lesion.
  • Intraoperative findings revealed a complicated splenic artery aneurysm as the source of bleeding.
  • Successful surgical resection and repair were performed.

Conclusions:

  • Intragastric rupture of a splenic artery aneurysm is a rare surgical emergency.
  • Urgent diagnosis and management are vital to prevent potentially lethal outcomes.
  • This case underscores the need for considering rare vascular pathologies in unexplained gastrointestinal bleeding.
Abstract

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