Introduction
Splenic artery pseudoaneurysms (SAPs) are rare causes of upper gastrointestinal bleeding (UGIB), with less than 250 reported cases in the literature.1 Among these reported cases, SAPs are most often caused by pancreatitis (52%) or trauma (29%),2 and rarely by peptic ulcer disease. To the best of our knowledge, only nine cases of SAPs caused by peptic ulcers have been previously reported.2-10 UGIB caused by a ruptured SAP presents a significant risk for patient survival, since a mortality rate of up to 90% has been reported for untreated cases1 and the treatment strategies used can determine whether a patient lives or dies. The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) to control non-traumatic bleeding has increased11-13; however, REBOA has not been used in any case report of UGIB from a SAP that was caused by a peptic ulcer. Herein, we report the case of a patient with UGIB from a SAP caused by a peptic ulcer, who survived as the result of surgery using REBOA.