# Rupture of a Splenic Artery Aneurysm With Gastric Perforation After Pancreaticoduodenectomy: A Case Report

## TL;DR

A 71-year-old woman experienced a life-threatening splenic artery aneurysm rupture with gastric perforation 19 years after a pancreatic surgery, successfully treated with emergency endovascular therapy.

## Contribution

This case report highlights the rare but severe complication of SAA rupture with gastric perforation and the efficacy of endovascular treatment in such complex scenarios.

## Key findings

- A splenic artery aneurysm rupture with gastric perforation occurred 19 years after pancreaticoduodenectomy.
- Endovascular techniques successfully controlled the bleeding and stabilized the patient.
- Rapid diagnosis and treatment are critical for managing SAA rupture in patients with complex surgical histories.

## Abstract

Splenic artery aneurysm (SAA) is the most common visceral artery aneurysm and can lead to severe outcomes if ruptured. This report presents the case of a 71-year-old female who experienced a sudden and severe gastrointestinal hemorrhage 19 years after undergoing pancreaticoduodenectomy for pancreatic head cancer. The patient arrived at the hospital with signs of shock, and imaging revealed an SAA rupture with associated gastric perforation. Emergency treatment involved endovascular techniques, which stabilized the patient and controlled the bleeding. This case highlights the importance of rapid diagnosis and the effectiveness of endovascular therapy in managing SAA rupture, particularly in patients with complex surgical histories.