Splenic Artery Hemorrhage as a Rare Delayed Complication of Percutaneous Endoscopic Gastrostomy

Percutaneous endoscopic gastrostomy (PEG) is commonly used for long-term enteral access in patients with dysphagia. We report a 67-year-old man with laryngeal carcinoma, prior stroke, and severe dysphagia who developed delayed hemorrhage from a branch of the splenic artery 7 days after PEG placement. He presented with abdominal pain, bleeding through the PEG tube, profound anemia, and hemodynamic instability. Imaging showed hemorrhage in the lesser sac, and angiography confirmed active splenic artery branch bleeding. Endovascular embolization achieved hemostasis. This rare complication is notable for its delayed presentation and favorable outcome after prompt intervention.