• Wien. Klin. Wochenschr. · Sep 2003

    Case Reports

    Posttraumatic splenic artery aneurysm presenting as occult gastrointestinal bleeding.

    • Robert Koch, Ivo Graziadei, Heinz Zoller, Hubert Schwaighofer, Werner Jaschke, and Wolfgang Vogel.
    • Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Innsbruck, Innsbruck, Austria. robert.koch@uibk.ac.at
    • Wien. Klin. Wochenschr. 2003 Sep 30; 115 (17-18): 668-71.

    AbstractA 53-year-old man presented with a 19-month history of gastrointestinal bleeding. Repeated endoscopic investigation of the upper and lower intestine showed no source of bleeding. When the patient collapsed due to massive gastrointestinal hemorrhage he was referred to our center. Gastroscopy showed a large, bulging tumor protruding from the posterior gastric wall. The consistency of this tumor was soft and the overlying mucosa appeared smooth and intact. Endoscopic ultrasound and contrast-enhanced computerized tomography scan identified a partly thrombosized splenic artery aneurysm (SAA). Arteriography of the celiac trunk confirmed the SAA diagnosis; the SAA was subsequently occluded by coils. So far, four months after discharge, the patient is in excellent health and no further episode of gastrointestinal bleeding has occurred. SAA is a very rare cause of upper gastrointestinal bleeding, but it must be considered when no other common bleeding source can be detected.

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