A Case of Contained Ruptured Splenic Artery Aneurysm Complicating Arteriogastric Fistula

Abstract

We report an extremely rare case of fistula between a splenic artery aneurysm and stomach without massive bleeding. A 67-year-old man was admitted with upper abdominal pain. Gastrofiberscopy revealed a large mass near the cardia and computed tomography scan showed a contained ruptured splenic artery aneuysm which communicated with the stomach. Based on these findings we diagnosed a fistula between a splenic artery aneurysm and stomach which did not present massive bleeding. Symptoms of fever and anemia suggested infection of the aneurysm, therefore urgent operation was performed. The operative technique was splenectomy, total gastrectomy and drainage around aneurysmal wall. The postoperative course was uneventful and the patient improved with no complication.