Volume 24, Issue 105, September - October, 2020

An unusual case of hematemesis in a case of cirrhosis with portal hypertension- in a realm of double jeopardy

Amol Andhale¹, Sourya Acharya^2♦, Samarth Shukla³, Sujal Patel¹, Shubham Nimkar¹, Mansi Patel¹

¹Resident, Dept. of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
²Professor, Dept. of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
³Professor, Dept. of Pathology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India

^♦Corresponding author
Professor, Dept. of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India; Email: souryaacharya74@gmail.com

ABSTRACT

Portal hypertension in cirrhotic patients causes hematemesis usually due to rupture of esophageal varices. At the same time portal hypertension is also a risk factor for development of splenic artery aneurysm (SAA). One of the potential complications of SAA is erosion and ruptureinto the stomach leading to intra gastric hemorrhage and, or intra peritoneal hemorrhage. We report a case of a 60 year old male patient, who had cirrhosis of liver with portal hypertension and presented to us with hematemesis. During therapeutic endoscopic band ligation, a pulsatile mass along the posterior wall of stomach was seen, which was confirmed as splenic artery aneurysm in CECT of abdomen. To prevent further potential risk of hemorrhage a coiling embolization was performed.

Keywords: portal hypertension, cirrhosis, SAA, coiling, embolization

Medical Science, 2020, 24(105), 3579-3583

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