Hemorragia digestiva alta grave por fístula entre arteria esplénica y manga gástrica.

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