title: [Rupture of splenic artery pseudoaneurysm: an unusual cause of upper gastrointetinal bleeding].
abstract: BACKGROUND
  Bleeding from a pancreatic pseudocyst is a severe complication after pancreatitis that can lead to a massive gastrointestinal blood loss. Pseudocyst rupture into the stomach is an unusual complication.
  
  
  METHODS
  We report the case of a 34-year-old woman with a history of alcoholism and a pancreatic pseudocyst. One year after follow-up of her pseudocyst, she arrived at the emergency room with an episode of upper gastrointestinal bleeding. An upper digestive endoscopy showed active bleeding in the subcardial fundus, which could not be endoscopically controlled. Abdominal angio-CT confirmed the diagnosis of a splenic artery pseudoaneurysm in close contact with the back wall of the stomach, as well as a likely fistulization of it. The patient was urgently operated and a distal splenopancreatectomy and fistulorrhaphy was performed.
  
  
  CONCLUSIONS
  The rupture of a splenic artery pseudoaneurysm may rarely present as upper gastrointestinal bleeding. This may be lethal if not urgently treated.
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Santa Ana, Motril. Granada, Spain.
authors.forename: Francisco Antonio
authors.initials: FA
authors.lastname: Herrera-Fernández
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Santa Ana, Motril. Granada, Spain. apalomeque2002@hotmail.com.
authors.forename: Antonio
authors.initials: A
authors.lastname: Palomeque-Jiménez
authors.affiliation: Servicio de Radiología, Hospital Santa Ana, Motril. Granada, Spain.
authors.forename: Félix
authors.initials: F
authors.lastname: Serrano-Puche
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Santa Ana, Motril. Granada, Spain.
authors.forename: Salvador Francisco
authors.initials: SF
authors.lastname: Calzado-Baeza
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Santa Ana, Motril. Granada, Spain.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Reyes-Moreno
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000150:complications; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004630:Emergencies; D005260:Female; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D010180:Pancreatectomy; D010185:Pancreatic Fistula / Q000209:etiology / Q000601:surgery; D010192:Pancreatic Pseudocyst / Q000150:complications; D012422:Rupture, Spontaneous; D013156:Splenectomy; D013157:Splenic Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
keywords: Pseudoaneurysm; chronic pancreatitis; gastrointestinal bleeding; hemorragia digestiva; pancreatitis crónica; pseudoaneurisma; pseudocyst; pseudoquiste