Delayed rupture of a splenic artery pseudoaneurysm after biliopancreatic diversion.

Published

Journal Article

Splenic artery pseudoaneurysm (SAP) is a known but rare complication of pancreatitis and blunt abdominal trauma. SAP caused by operative trauma has been rarely reported. We present a patient who presented with massive upper gastrointestinal (GI) bleed in shock. On exploratory laparotomy, a SAP was diagnosed. He must have sustained injury to his splenic artery while undergoing reinforcement of sleeve gastrectomy during an open biliary pancreatic diversion procedure 2 years back. Alternatively, the prolene suture might have eroded into the splenic artery to cause the SAP. Literature on iatrogenic SAP is reviewed. SAP should be considered in patients with history of foregut surgery with GI bleed and equivocal endoscopic findings.

Full Text

Duke Authors

Cited Authors

  • Upadhyaya, PK; Chava, S; Bin-Sangheer, S; Sudan, R; Mittal, SK; Cemaj, S

Published Date

  • July 2008

Published In

Volume / Issue

  • 18 / 7

Start / End Page

  • 890 - 892

PubMed ID

  • 18484144

Pubmed Central ID

  • 18484144

International Standard Serial Number (ISSN)

  • 0960-8923

Digital Object Identifier (DOI)

  • 10.1007/s11695-007-9411-9

Language

  • eng

Conference Location

  • United States