Splenic artery pseudoaneurysm with splenic infarction induced by a benign gastric ulcer: A case report

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Rationale:Splenic artery pseudoaneurysm induced by benign gastric ulcer is extremely rare and can lead to a fatal clinical situation. To the best of our knowledge, there are only five cases in the literature review. Therefore, it can be a diagnostic challenge for radiologists and clinicians because of rare incidence.Patient concerns:The patient visited our hospital due to melena and dizziness.Diagnoses:The patient showed a huge ulcer and an exposed vessel in the posterior wall of the gastric high body during endoscopy. Angiography revealed a pseudoaneurysm of the splenic artery and contrast extravasation into the gastric lumen.Interventions:We performed coil embolization of splenic artery and gastrectomy.Outcomes:Postprocedural course was uneventful and led to patient discharge on day 8.Lessons:We suggest that the splenic artery pseudoaneurysm should be considered differential diagnosis in the patients with acute upper gastrointestinal bleeding, and the presence of a splenic infarction may provide a diagnostic clue.

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