Massive gastric bleeding from pseudoaneurysm of the arteria lienalis as a serious complication of pancreatic pseudocyst perforating to the stomach
2005
Abstract
We report an unusual case of a 45-year-old woman with life threatening gastric bleeding from a pseudoaneurysm of the splenic artery as a complication of pancreatic pseudocyst perforating into the stomach. Chronic alcoholic calcifying pancreatitis was the principal disease and massive haemorrhage was surprisingly its first symptom.
CT scan confirmed the suspicion of the endoscopist having found a pancreatic pseudocyst with blood clots bulging to the stomach. Arteriography recognized a pseudoaneurysm of the arteria lienalis.
The bleeding was controlled by means of interventional radiological clotting of the artery (coil embolization and acrylate obliteration). The patient?s recovery was rapid and uneventful.