Giant splenic artery mycotic aneurysm presenting with massive hematemesis.
We report a 40-year-old man with rheumatic heart disease who presented with abdominal pain for three weeks and hematemesis for 24 hours. CT scan showed a large splenic artery aneurysm without evidence of pancreatitis. Mycotic aneurysm due to infective endocarditis was considered and confirmed by echocardiogram, which showed aortic and mitral valve regurgitation and vegetations. He was managed successfully with coil embolization of the aneurysm and antibiotics.
Jeyamani
R
R
Department of Gastrointestinal Sciences, Christian Medical College, Vellore 632 004, Tamil Nadu. pati@cmcvellore.ac.in
Shyamkumar
N K
NK
Narayanan
Kumar
K
Subhash
H S
HS
George
Biju
B
Kurian
George
G
D000328:Adult; D000785:Aneurysm, Infected / Q000175:diagnosis*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis; D003937:Diagnosis, Differential; D004452:Echocardiography; D004696:Endocarditis / Q000175:diagnosis; D006396:Hematemesis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis; D012214:Rheumatic Heart Disease / Q000175:diagnosis; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed