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Splenic Artery Pseudoaneurysm Causing Delayed Hematemesis After Total Gastrectomy With D2 Lymphadenectomy
Aliki Vaia Rompou1, Kleanthi C Ampntin1, Ilias Vourlitis1
1Surgical Oncology, General Anticancer-Oncology Hospital of Athens "Saint Savvas", Athens, GRC.
Cureus
|May 20, 2026
Summary
Delayed bleeding after gastrectomy can be caused by splenic artery pseudoaneurysm. This rare vascular complication requires advanced imaging like CT angiography for diagnosis and endovascular stent placement for effective treatment.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Radiology
Background:
- Delayed postoperative hemorrhage following total gastrectomy is infrequent.
- Vascular complications, such as splenic artery pseudoaneurysm, are rare but serious causes of bleeding after gastrectomy.
- Identifying the source of bleeding can be challenging when conventional methods are inconclusive.
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