[Rupture of an aneurysm of the splenic artery into the pancreas, a rare cause of gastrointestinal bleeding (author's transl)].
In a 73 year old man, repeated gastrointestinal haemorrhages first attributed to peptic oesophagitis, recurred despite anti-reflux surgery. Upper endoscopy being negative, arteriography was performed which revealed the presence of a fissured aneurysm of the splenic artery. This was successfully treated by left splenopancreatectomy. A communication between the aneurysm and wirsung's duct was found in the operative specimen. This a very rare cause of gastrointestinal bleeding. The diagnosis can be made only by arteriography.
D000368:Aged; D000783:Aneurysm / Q000150:complications* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000601:surgery; D012422:Rupture, Spontaneous; D013157:Splenic Artery / Q000601:surgery
Rupture d'un anévrysme de l'artère splénique dans le pancréas, cause exceptionnelle d'hémorragie digestive par wirsungorragie.