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

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dc.contributor.authorShahani, R Ben_US
dc.contributor.authorBijlani, R Sen_US
dc.contributor.authorDalvi, A Nen_US
dc.contributor.authorShah, H Ken_US
dc.contributor.authorSamsi, A Ben_US
dc.date.accessioned1994-10-01en_US
dc.date.accessioned2009-06-02T11:53:35Z
dc.date.available1994-10-01en_US
dc.date.available2009-06-02T11:53:35Z
dc.date.issued1994-10-01en_US
dc.description.abstractSix 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.en_US
dc.description.affiliationDept. of Surgery, KEM Hospital, Parel, Bombay, Maharashtra.en_US
dc.identifier.citationShahani RB, Bijlani RS, Dalvi AN, Shah HK, Samsi AB. Massive upper gastrointestinal haemorrhage due to direct visceral erosion of splenic artery aneurysm. Journal of Postgraduate Medicine. 1994 Oct-Dec; 40(4): 220-2en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/116530
dc.language.isoengen_US
dc.source.urihttps://www.jpgmonline.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAneurysm --complicationsen_US
dc.subject.meshGastrointestinal Hemorrhage --etiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRupture, Spontaneousen_US
dc.subject.meshSplenic Arteryen_US
dc.titleMassive upper gastrointestinal haemorrhage due to direct visceral erosion of splenic artery aneurysm.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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