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The most frequent causes of acute upper digestive tract hemorrhage are gastroduodenal ulcers, esophageal varices and gastric erosions. Esogastric cancers, angiodysplasias and Mallory-Weiss syndromes can also become complicated by significant digestive bleedings. Much rarer is the intragastric rupture of a splenic artery aneurysm that induces a cataclysmic upper gastrointestinal hemorrhage. We present such an entity, whose exceptional peculiarity is to be associated with a pancreatic adenocarcinoma.