Journal of Postgraduate Medicine
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CASE REPORTS
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Year : 1994  |  Volume : 40  |  Issue : 4  |  Page : 220-2  

Massive upper gastrointestinal haemorrhage due to direct visceral erosion of splenic artery aneurysm.

RB Shahani, RS Bijlani, AN Dalvi, HK Shah, AB Samsi 
 Dept. of Surgery, KEM Hospital, Parel, Bombay, Maharashtra.

Correspondence Address:
R B Shahani
Dept. of Surgery, KEM Hospital, Parel, Bombay, Maharashtra.

Six male patients (age group: 30-60 years) with aneurysm of the splenic artery presented with massive upper gastrointestinal tract hemorrhage. Five patients presented with hematemesis and one with melena. Chronic pancreatitis was noted in all the patients, four of whom were chronic alcoholics. Endoscopy was not useful in diagnosis. Bleeding through the Ampulla of Vater was seen in the patient with melena. Angiography was diagnostic in all. Pancreatic resection including the aneurysm(2), and bipolar ligation with underrunning of the aneurysm (3) were the operative procedures. Distal pancreatectomy with pancreatogastrostomy was carried out in the patient with hemosuccus pancreaticus. If endoscopy is inconclusive, angiography and early intervention is recommended to reduce the high mortality associated with conservative management.


How to cite this article:
Shahani R B, Bijlani R S, Dalvi A N, Shah H K, Samsi A B. Massive upper gastrointestinal haemorrhage due to direct visceral erosion of splenic artery aneurysm. J Postgrad Med 1994;40:220-2


How to cite this URL:
Shahani R B, Bijlani R S, Dalvi A N, Shah H K, Samsi A B. Massive upper gastrointestinal haemorrhage due to direct visceral erosion of splenic artery aneurysm. J Postgrad Med [serial online] 1994 [cited 2022 Jun 27 ];40:220-2
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=1994;volume=40;issue=4;spage=220;epage=2;aulast=Shahani;type=0


 
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