Splenic artery aneurysm and upper gastrointestinal bleeding in a nulliparous woman. A case history.
An eighty-three-year-old nulliparous woman hospitalized for orthopedic surgery developed postoperative upper gastrointestinal bleeding and hypotension resulting in her death. Postmortem examination revealed a ruptured splenic artery aneurysm. This is the second reported case of gastrointestinal bleeding due to ruptured splenic artery aneurysm in a nulliparous woman and the first such case resulting in death. The incidence, pathophysiology, clinical presentation, and diagnosis of splenic artery aneurysm are discussed.
Huncharek
M
M
Department of Medicine, Cambridge Hospital, Harvard Medical School, Massachusetts.
Klassen
H
H
Klassen
M
M
D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000453:epidemiology; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D015994:Incidence; D010298:Parity; D012086:Reoperation; D012422:Rupture, Spontaneous; D012600:Scoliosis / Q000601:surgery; D013157:Splenic Artery