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Giant splenic artery mycotic aneurysm presenting with massive hematemesis

Jeyamani, R.; Shyamkumar, N.K.; Narayanan, K.; Subhash, H.S.; George, B.; Kurian, G.

Indian Journal of Gastroenterology Official Journal of the Indian Society of Gastroenterology 22(4): 147-148

2003

ISSN/ISBN: 0254-8860
PMID: 12962441
Document Number: 552139
We report a 40-year-old man with rheumatic heart disease who presented with abdominal pain for three weeks and hematemesis for 24 hours. CT scan showed a large splenic artery aneurysm without evidence of pancreatitis. Mycotic aneurysm due to infective endocarditis was considered and confirmed by echocardiogram, which showed aortic and mitral valve regurgitation and vegetations. He was managed successfully with coil embolization of the aneurysm and antibiotics.

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