Splenic artery pseudoaneurysm presenting with massive rectal bleeding

Radiol Case Rep. 2019 Apr 12;14(7):791-794. doi: 10.1016/j.radcr.2019.03.038. eCollection 2019 Jul.

Abstract

Splenic artery pseudoaneursym is relatively rare and its rupture is usually fatal. We report a case of a 48-year-old male with 2 prior episodes of alcoholic pancreatitis that presented with massive per rectal bleeding from rupture of a splenic artery pseudoaneurysm into the transverse colon. Gold standard of diagnosis is CT angiography of the abdomen. We present the first case in the literature where a diagnosis has been made with noncontrast CT of the abdomen and described the radiologic features that facilitated this diagnosis.

Keywords: GI bleeding; Pancreatitis; Splenic artery aneursym.

Publication types

  • Case Reports