Acute Gastric Hemorrhage due to Gastric Cancer Eroding Into a Splenic Artery Pseudoaneurysm: Two Dangerously Rare Etiologies of Upper Gastrointestinal Bleeding

Anabel Liyen Cartelle; Pearl Princess Uy; John Erikson L Yap

doi:10.7759/cureus.10685

Acute Gastric Hemorrhage due to Gastric Cancer Eroding Into a Splenic Artery Pseudoaneurysm: Two Dangerously Rare Etiologies of Upper Gastrointestinal Bleeding

Cureus. 2020 Sep 27;12(9):e10685. doi: 10.7759/cureus.10685.

Authors

Anabel Liyen Cartelle¹, Pearl Princess Uy¹, John Erikson L Yap¹

Affiliation

¹ Gastroenterology and Hepatology, Medical College of Georgia at Augusta University, Augusta, USA.

Abstract

Splenic artery pseudoaneurysms (SAPs) are rare causes of upper gastrointestinal bleeding (UGIB), with less than 250 reported cases in the literature. The highest incidence of SAPs is in patients with a history of acute or chronic pancreatitis or splenic artery trauma. SAP in the setting of gastric malignancy is an exceedingly rare finding. We present the unusual hospital course of an 82-year-old male with advanced gastric cancer presenting with UGIB secondary to a visceral communication between his known gastric malignancy and a SAP.

Keywords: gastric tumor; pseudoaneurysm of splenic artery; upper gastrointestinal bleed.

Publication types

Case Reports