Massive lower gastrointestinal tract bleeding due to splenic artery aneurysm: a case report.
True aneurysm of the splenic artery is the third most common intraabdominal aneurysm and constitutes 60% of all visceral aneurysms. The incidence of splenic artery aneurysms ranges from 0.01% to as high as 10.4% in the elderly. In approximately 30% of cases, the aneurysm may rupture into a viscus. Aneurysmal rupture into the colon is a potentially fatal but extremely uncommon complication. We report a case of splenic artery aneurysm communicating with the descending colon, presenting as massive lower gastrointestinal tract bleeding. The patient was treated and survived the episode. In English literature, fewer than 15 cases have been described with only two patients surviving.
Rao
Sanjiv
S
Department of Surgery, Mount Sinai Medical Center, Miami, FL, USA. sarao@lumc.edu
Sivina
Manuel
M
Willis
Irvin
I
Sher
Taimur
T
Habibnejad
Samira
S
D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed