scholarly journals Acute Gastric Hemorrhage due to Gastric Cancer Eroding Into a Splenic Artery Pseudoaneurysm: Two Dangerously Rare Etiologies of Upper Gastrointestinal Bleeding

Cureus ◽  
2020 ◽  
Author(s):  
Anabel Liyen Cartelle ◽  
Pearl Princess Uy ◽  
John Erikson L Yap
Keyword(s):  
Gastric Cancer ◽  
Gastrointestinal Bleeding ◽  
Splenic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Artery Pseudoaneurysm ◽  
Gastric Hemorrhage ◽  
Upper Gastrointestinal ◽  
Splenic Artery Pseudoaneurysm

scholarly journals Hemosuccus Pancreaticus in Chronic Pancreatitis: An Uncommon Cause of Gastrointestinal Bleeding

2020 ◽  
Vol 10 ◽  
pp. 72
Author(s):  
William Lee ◽  
Sunny Qi-Huang ◽  
Zaid Ahmed ◽  
Salman S. Shah
Keyword(s):  
Chronic Pancreatitis ◽  
Gastrointestinal Bleeding ◽  
Hemorrhagic Shock ◽  
Coil Embolization ◽  
Splenic Artery ◽  
Clinical Symptoms ◽  
Upper Gastrointestinal Bleeding ◽  
Artery Pseudoaneurysm ◽  
Upper Gastrointestinal ◽  
Splenic Artery Pseudoaneurysm

We present a case of a 69-year-old female who arrived in hemorrhagic shock with symptoms of upper gastrointestinal bleeding. Imaging on admission was diagnostic of a large splenic artery pseudoaneurysm, which was presumed to have bled into the pancreatic duct given clinical symptoms of upper gastrointestinal bleeding. The pseudoaneurysm was successfully treated with coil embolization resulting in resolution of clinical symptoms.

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

scholarly journals A rare case report of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110619
Author(s):  
Nguyen Dinh Luan ◽  
Nguyen Minh Duc ◽  
Nguyen Hong Son ◽  
Tran Minh Hien ◽  
Le Anh Huy ◽  
...  
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Hemodynamic Instability ◽  
Splenic Artery Aneurysm ◽  
Upper Gastrointestinal Hemorrhage ◽  
Artery Pseudoaneurysm ◽  
Rare Case Report ◽  
Upper Gastrointestinal ◽  
Splenic Artery Pseudoaneurysm

Splenic artery aneurysm and splenic artery pseudoaneurysm are rare vascular pathologies. The splenic artery represents the third most common site for intra-abdominal aneurysms. In contrast with true splenic artery aneurysm, splenic artery pseudoaneurysm is typically symptomatic, presenting with a range of symptoms, from abdominal pain to hemodynamic instability due to rupture. However, gastrointestinal hemorrhage is an uncommon complication of splenic artery pseudoaneurysm. We report a case of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm rupture. The patient was successfully treated by endovascular intervention.

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