Splenic artery pseudoaneurysm with splenic infarction induced by a benign gastric ulcer: A case report

Soo Buem Cho, Sung Eun Park, Chang Min Lee, Ji Ho Park, Hye Jin Baek, Kyeong Hwa Ryu, Jin Il Moon, Bo Hwa Choi, Ji Young Ha, Sangmin Lee

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Rationale: Splenic artery pseudoaneurysm induced by benign gastric ulcer is extremely rare and can lead to a fatal clinical situation. To the best of our knowledge, there are only five cases in the literature review. Therefore, it can be a diagnostic challenge for radiologists and clinicians because of rare incidence. Patient concerns: The patient visited our hospital due to melena and dizziness. Diagnoses: The patient showed a huge ulcer and an exposed vessel in the posterior wall of the gastric high body during endoscopy. Angiography revealed a pseudoaneurysm of the splenic artery and contrast extravasation into the gastric lumen. Interventions: We performed coil embolization of splenic artery and gastrectomy. Outcomes: Postprocedural course was uneventful and led to patient discharge on day 8. Lessons:We suggest that the splenic artery pseudoaneurysm should be considered differential diagnosis in the patients with acute upper gastrointestinal bleeding, and the presence of a splenic infarction may provide a diagnostic clue.

Original languageEnglish
Article numbere11589
JournalMedicine (United States)
Issue number29
StatePublished - 1 Jul 2018

Bibliographical note

Publisher Copyright:
Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc.


  • Embolization
  • Endovascular treatment
  • Pseudoaneurysm
  • Splenic artery


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