Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 14, 2020; 26(22): 3110-3117
Published online Jun 14, 2020. doi: 10.3748/wjg.v26.i22.3110
Giant splenic artery aneurysm presenting with massive upper gastrointestinal bleeding: A case report and review of literature
Francesco Panzera, Riccardo Inchingolo, Marina Rizzi, Assunta Biscaglia, Maria Grazia Schievenin, Emilia Tallarico, Giancarlo Pacifico, Beatrice Di Venere
Francesco Panzera, Marina Rizzi, Division of Gastroenterology, Department of Surgery, Madonna delle Grazie Hospital, Matera 75100, Italy
Riccardo Inchingolo, Assunta Biscaglia, Division of Interventional Radiology, Department of Radiology, Madonna delle Grazie Hospital, Matera 75100, Italy
Maria Grazia Schievenin, Department of Intensive Care, Madonna delle Grazie Hospital, Matera 75100, Italy
Emilia Tallarico, Department of Pathology, Madonna delle Grazie Hospital, Matera 75100, Italy
Giancarlo Pacifico, Beatrice Di Venere, Division of General Surgery, Department of Surgery, Madonna delle Grazie Hospital, Matera 75100, Italy
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Informed consent statement: Informed consent has been obtained from the patient.
Conflict-of-interest statement: All the authors are aware of the content of the manuscript and have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Riccardo Inchingolo, MD, Doctor, Division of Interventional Radiology, Department of Radiology, Madonna delle Grazie Hospital, Via Montescaglioso, Matera 75100, Italy. riccardoin@hotmail.it
Received: March 15, 2020
Peer-review started: March 15, 2020
First decision: April 25, 2020
Revised: April 29, 2020
Accepted: May 29, 2020
Article in press: May 29, 2020
Published online: June 14, 2020
Processing time: 91 Days and 1.9 Hours
Core Tip

Core tip: Splenic artery aneurysm (SAA) is a rare vessel’s lesion, despite is the most common aneurysm of visceral vessels. We present herein, a rare case of spontaneous rupture of a giant SAA into the stomach, in a previously healthy male patient. This case highlights the importance of the contrast enhanced computed tomography in case of unclear endoscopic aspect and the urgent surgical treatment in order to prevent a two-stage rupture.