Table 1 Reported cases of peptic ulcer disease-induced splenic artery pseudoaneurysm
Author | Year (report) | Age | Sex | Comorbidity, background | Symptoms | Hemodynamics | Hemoglobin (g/dL) | Location of PUD | Primary treatment | Rebleed | Surgical procedure | For SAP | Outcome | Complications |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pasumarthy [9] | 2009 | 55 | M | HT, HL, DM, coronary artery disease | Abdominal pain, hematemesis, melena | Unstable | 8.1 | Stomach (within 2 cm to EGJ) | TAE | + | Total gastrectomy + splenectomy | NA | Saved | NA |
Syed [10] | 2014 | 77 | F | None | Abdominal pain, hematemesis | Stable | 7.7 | Stomach (posterior wall) | TAE | − | Partial gastrectomy + DP + splenectomy | Resected | Saved | None |
Varshney [11] | 2014 | 38 | M | NA | Abdominal pain, hematemesis, melena | NA | 4 | Stomach (posterior wall) | laparotomy | − | Primary repair + splenectomy | NA | Saved | None |
Sawicki [12] | 2015 | 57 | M | None | Abdominal pain, syncope | Unstable | 6.7 | Stomach (posterior wall) | laparotomy | − | Primary repair only | Bipolar ligated | Saved | Acute respiratory distress syndrome |
Cho [13] | 2018 | 61 | M | Homeless person | Dizziness, melena | Stable | 2.7 | Stomach (posterior wall) | TAE × 2 times | + | Gastrectomy (details unknown) | NA | Saved | None |
Menaria [14] | 2019 | 57 | F | None | Abdominal pain, hematemesis | Unstable | 6.4 | Duodenum (the fourth part) | TAE | − | – | – | Saved | Splenic infarction |
Nakata [15] | 2022 | 72 | F | Atrial fibrillation, HT | Melena | Unstable | 4 | Stomach (posterior wall) | REBOA | − | Distal gastrectomy | Resumed with suture | Saved | None |
Our case | 2022 | 33 | M | None | Hematemesis, disturbance of consciousness | Unstable | 3.7 | Stomach (posterior wall) | TAE | + | Proximal gastrectomy | Ligated | Saved | Partial splenic infarction |