Case Report


Upper gastrointestinal bleeding revealing a gastric arteriovenous malformation emerging from the splenic artery

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1 Radiology Department, Ibn Sina Hospital, Rabat, Morocco

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Taibi Basma

Radiology Department, Ibn Sina Hospital, Rabat,

Morocco

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Article ID: 101137Z01TB2020

doi: 10.5348/101137Z01TB2020CI

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How to cite this article

Basma T, Hind S, Nabil M, Ittimade N. Upper gastrointestinal bleeding revealing a gastric arteriovenous malformation emerging from the splenic artery. Int J Case Rep Images 2020;11:101137Z01TB2020.

ABSTRACT


Introduction: Upper gastrointestinal bleeding caused by arteriovenous malformation (AVM) has been rarely described in the literature and usually presents as massive hematemesis or chronic iron deficiency anemia.

Case Report: We report the case of a 43-yearold man with no medical history, who suffered from gastrointestinal bleeding. The bleeding source was a gastric arteriovenous malformation emerging from the splenic artery identified by computed tomography angiography (CTA) scan. This malformation was responsible of portal hypertension and splenic artery aneurysm. Therapeutic angiography succeeded in occluding the vessel.

Conclusion: Nonspecific endoscopic appearances make the diagnosis difficult. Therapeutic embolization offers a better chance of stopping hemorrhage.

Keywords: Arteriovenous malformation, Embolization, Hematemesis

SUPPORTING INFORMATION


Author Contributions

Taibi Basma - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sahli Hind - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Moatassimbillah Nabil - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Nassar Ittimade - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Taibi Basma et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.