A case of perforation of splenic arterial aneurysm into the stomach treated by TAE

Abstract

A 61-year-old male was admitted to our hospital because of hematemesis. Emergent gastroendoscopy and CT was performed at once, and they had detected a 4 cm of splenic arterial aneurysm which perforated into his stomach. We performed emergent abdominal operation but couldn't reach the aneurysm because of hard adhesion.
So we performed Angiography and TAE twice, stuffed aneurysm with metallic coil, and finally success with stop the hemorrhage. 6 months later, gastroendoscopy showed that metallic coil had penetrated into the stomach, but there were no bleeding.