Rupture of a splenic artery aneurysm into the pancreatic duct. Case report.
A 71-year-old woman was admitted to a local hospital with abdominal pain and repeated haematemeses and melaena. Plain X-ray of the abdomen showed a cystic mass with a calcified wall behind the stomach. No bleeding point in the stomach or duodenum was found at gastroscopy. Over a period of 28 days she had five episodes of gastrointestinal haemorrhage with no drop in blood pressure. She was transferred to the regional hospital 26 days after admission. Angiography showed a splenic artery aneurysm 5 x 10 cm, which at operation was found to have ruptured into the pancreatic duct. The aneurysm, the tail of the pancreas and the spleen were removed, and she made an uneventful recovery.
Lie
M
M
Department of Surgery, Rjukan Hospital, Norway.
Ertresvåg
K
K
Skjennald
A
A
D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging*; D011859:Radiography; D012422:Rupture, Spontaneous; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000473:pathology