Severe upper gastrointestinal bleeding due to fistula between splenic artery and gastric sleeve

  • Daniel González González ORCID: 0000-0003-3916-9201
  • Nicolás Tarigo ORCID: 0000-0002-0807-5539
DOI: https://doi.org/10.25184/anfamed2022v9n2a3
Keywords: gastrointestinal bleeding, gastric sleeve, fistula, splenic artery

Abstract

Gastrointestinal bleeding caused by a fistula between the gastric
sleeve and a pseudoaneurysm of the splenic artery or upper pole of
the spleen is uncommon.
A clinical case of a 52-year-old patient with a history of gastric
sleeve surgery and anastomotic leak is presented.
She was admitted for severe upper gastrointestinal bleeding.
She underwent emergency surgery and performed a hemostatic
stitch on the posterior face of the gastric sleeve. She underwent
reoperation due to rebleeding, performing gastrectomy and distal
splenopancreatectomy due to discontinuation of the splenic
artery. Given the hemodynamic instability, an esophagostomy and
jejunostomy were performed, reconstructing at 8 months with good
evolution.

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Published
2022-08-17
How to Cite
González, D. G., & Tarigo, N. (2022). Severe upper gastrointestinal bleeding due to fistula between splenic artery and gastric sleeve. Anales De La Facultad De Medicina, 9(2), e401. https://doi.org/10.25184/anfamed2022v9n2a3
Issue
Vol. 9 No. 2 (2022): Anales de la Facultad de Medicina
Section
Casos clínicos

Copyright (c) 2022 Daniel González González, Nicolás Tarigo

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