Gastric splenosis: a rare cause of digestive bleeding.

with coffee grounds vomit and melena during the previous 48 hours. He had been subject to a major abdominal surgery with splenectomy at age of 38, after a traumatic injury. Regular medication was low-dose acetylsalicylic acid. On physical examination: blood pressure was 100/73 mmHg; heart rate 74 bpm; cardiac-pulmonary auscultation was normal and abdomen was tender and painless; rectal examination confirmed melena. Laboratory data: hemoglobin 11.7 g/dL; platelets 221 x 10^/μL; INR 1.2; aPTT 24.5; BUN 44 mg/dL; creatinine 0.7 mg/dL. Esophagogastroduodenoscopy visualized an ulcer located on the greater curvature of the proximal gastric body with well delimited borders over an elevated formation (Fig. 1). On computed tomography there was a solid nodular lesion on the greater curvature of the stomach with enhancement on arterial phase highly suggestive of gastric splenosis (Fig. 2A). This hypothesis was confirmed with scintigraphy (Fig. 2B). The patient was medicated with pantoprazole. Three weeks after discharge, endoscopy was repeated revealing frank ulcer healing. Gastric splenosis: a rare cause of digestive bleeding