title: Massive bleeeding from upper gastrointestinal tract as a symptom of rupture of splenic artery aneurysm to stomach.
abstract: BACKGROUND
  Splenic artery aneurysm is the most common aneurysm of visceral vessels. Their rupture usually leads to massive bleeding, being a direct life threat. Splenic artery aneurysms usually rupture into the free peritoneal cavity, and much less frequently into the lumen of the gastrointestinal tract.
  
  
  METHODS
  We describe the case of a 38-year-old male patient, who, as a result of chronic pancreatitis, developed a false aneurysm of the splenic artery, which initially caused necrosis of the large intestine and bleeding into its lumen, and subsequently necrosis of the posterior stomach wall with the aneurysm rupture to the stomach lumen with a dramatic course.
  
  
  CONCLUSIONS
  The case described confirms that splenic artery aneurysm can be a cause of bleeding to both upper and lower parts of the gastrointestinal tract, and the aneurysm rupture is usually of a dramatic and life-threatening course.
authors.affiliation: Department and Clinic of General Surgery, Gastroenterology and Endocrinology, Karol Marcinkowski University of Medical Science in Poznan, Poznan, Poland. towierzba@vp.pl
authors.forename: Tomasz
authors.initials: T
authors.lastname: Wierzbicki
authors.forename: Jacek
authors.initials: J
authors.lastname: Szmeja
authors.forename: Maciej
authors.initials: M
authors.lastname: Borejsza-Wysocki
authors.forename: Michał
authors.initials: M
authors.lastname: Męczyński
authors.forename: Piotr
authors.initials: P
authors.lastname: Smuszkiewicz
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Katulska
authors.forename: Michał
authors.initials: M
authors.lastname: Drews
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D013157:Splenic Artery / Q000473:pathology*