Laparoscopic surgery for the treatment of a ruptured aneurysm of the right gastric artery: a case report
Autor: | Takanori Kyokane, Toru Kawai, Shingo Kuze, Yuichi Asai, Katsutaka Watanabe, Yoshitaka Toyoda, Fumihiko Koide, Tsuyoshi Igami, Yosuke Ochiai |
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Rok vydání: | 2016 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty Visceral artery medicine.diagnostic_test business.industry Arterial Embolization medicine.medical_treatment General Medicine medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Aneurysm Blood loss 030220 oncology & carcinogenesis medicine.artery Circulatory system medicine 030211 gastroenterology & hepatology cardiovascular diseases Radiology Laparoscopy business Right gastric artery |
Zdroj: | Asian Journal of Endoscopic Surgery. 10:70-74 |
ISSN: | 1758-5902 |
DOI: | 10.1111/ases.12323 |
Popis: | Laparoscopic surgery for the treatment of a ruptured visceral artery aneurysm is recognized as a challenging procedure. Here, we describe our experience with laparoscopic surgery to treat a ruptured aneurysm of the right gastric artery. A 72-year-old woman was diagnosed with intra-abdominal hemorrhage caused by a ruptured aneurysm of the right gastric artery. Transcatheter arterial embolization failed because the right gastric artery could not be cannulated. Therefore, we performed laparoscopic surgery. Using laparoscopy, we detected that the bleeding from the aneurysm had ceased; thus, the planned procedure was successful. The operative time and intraoperative blood loss were 100 min and 5 mL, respectively. The patient was discharged 7 days after surgery. Laparoscopic surgery after the failure of transcatheter arterial embolization is a suitable and safe procedure for ruptured visceral artery aneurysms, provided the circulatory dynamics are stable as a result of the temporary cessation of bleeding from the ruptured aneurysm. |
Databáze: | OpenAIRE |
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