Penetration of Gastric Ulcer into the Splenic Artery: A Rare Complication

Lakshmi Pasumarthy, Rahul R. Kumar, James Srour, Duane Ahlbrandt

Abstract


Gastric ulcer and its complications are commonly encountered by physicians. Penetration is only noted in about 20% of the cases. Penetration into the splenic artery is a very rare occurrence. Making the diagnosis early on is important in order to prevent morbidity and mortality due to the brisk bleeding that can follow. In our report we describe the case, the imaging and the interventional radiological findings which helped with management. We review the literature published including radiological findings in such cases and describe the proposed pathogenesis. Definitive treatment usually involves controlling the bleeding either by means of embolization using coils or ligating the bleeding vessel.




doi:10.4021/gr2009.10.1321


Keywords


Gastric ulcer; Splenic artery; Penetration; Arteriogram

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