PMC9619333_01
(A) Enhanced CT showed SAP bulging into the gastric submucosa (arrow), and a splenic infarction (arrowhead). (B) The angiography indicated SAP (arrowhead). (C) The postembolization angiography showed a completely occluded pseudoaneurysm (arrowhead). (D) Upper gastrointestinal endoscopy revealed a massive gastric ulcer of the posterior wall of the gastric body with the embolic coil penetrating the gastric wall.
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An enhanced CT scan revealed a splenic artery pseudoaneurysm (SAP) in the submucosa with thinning of the posterior wall of the stomach (Fig. 1A). There were also findings of splenic infarction (Fig. 1A). SAP was performed. SAP confirmed by angiography (Fig. 1B) disappeared after the embolization (Fig. 1C). An upper gastrointestinal endoscopy performed on day 6 of hospitalization revealed a massive gastric ulcer on the posterior wall of the gastric body (Fig. 1D), and the coil used for embolizing the SAP was exposed from the ulcer base to the gastric lumen.