Splenic penetration by benign gastric ulcer: preoperative recognition with CT

Penetration of the spleen by a benign gastric ulcer is rare, but when it occurs there is a high probability of hemorrhage. To our knowledge, there have been no reports of the preoperative diagnosis of this entity. We encountered two cases which, in retrospect, could have been predicted from abdominal computed tomographic (CT) findings. Familiarity with this entity and with its appearance on CT may allow prospective detection and aggressive treatment before life-threatening complications develop.