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Obesity Surgery
Published in: Obesity Surgery 7/2008

01-07-2008 | Case report

Delayed Rupture of a Splenic Artery Pseudoaneurysm After Biliopancreatic Diversion

Authors: Prashant K. Upadhyaya, Soujanya Chava, Syed Bin-Sangheer, Ranjan Sudan, Sumeet K. Mittal, Samuel Cemaj

Published in: Obesity Surgery | Issue 7/2008

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Abstract

Splenic artery pseudoaneurysm (SAP) is a known but rare complication of pancreatitis and blunt abdominal trauma. SAP caused by operative trauma has been rarely reported. We present a patient who presented with massive upper gastrointestinal (GI) bleed in shock. On exploratory laparotomy, a SAP was diagnosed. He must have sustained injury to his splenic artery while undergoing reinforcement of sleeve gastrectomy during an open biliary pancreatic diversion procedure 2 years back. Alternatively, the prolene suture might have eroded into the splenic artery to cause the SAP. Literature on iatrogenic SAP is reviewed. SAP should be considered in patients with history of foregut surgery with GI bleed and equivocal endoscopic findings.
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Metadata
Title
Delayed Rupture of a Splenic Artery Pseudoaneurysm After Biliopancreatic Diversion
Authors
Prashant K. Upadhyaya
Soujanya Chava
Syed Bin-Sangheer
Ranjan Sudan
Sumeet K. Mittal
Samuel Cemaj
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 7/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-007-9411-9

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