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Splenic Artery Aneurysm and Upper Gastrointestinal Bleeding in a Nulliparous Woman

A Case History

Department of Medicine, The Cambridge Hospital, Harvard Medical School, Cambridge

Henry Klassen

Department of Medicine, The Cambridge Hospital, Harvard Medical School, Cambridge

Mary Klassen

Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

An eighty-three-year-old nulliparous woman hospitalized for orthopedic surgery developed postoperative upper gastrointestinal bleeding and hypotension resulting in her death. Postmortem examination revealed a ruptured splenic artery aneurysm. This is the second reported case of gastrointestinal bleeding due to ruptured splenic artery aneurysm in a nulliparous woman and the first such case resulting in death. The incidence, pathophysiology, clinical presentation, and diagnosis of splenic artery aneurysm are discussed.

Angiology, Vol. 45, No. 8, 733-735 (1994)
DOI: 10.1177/000331979404500809


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