Left gastric artery aneurysm rupture: a rare cause of retroperitoneal bleeding: a case report
| Autor: | Tarannum Fasih, Rory Farrell, Cho Ee Ng, Hazem Khout |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Abdominal pain Left gastric artery Contrast Media Hemorrhage Aneurysm Ruptured Splenic artery 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery medicine Humans Rupture Spontaneous medicine.diagnostic_test business.industry Stomach Angiography General Medicine Middle Aged medicine.disease Embolization Therapeutic Abdominal Pain Treatment Outcome medicine.anatomical_structure Epigastrium Abdominal examination 030211 gastroenterology & hepatology Radiology medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Scottish Medical Journal. 61:163-166 |
| ISSN: | 2045-6441 0036-9330 |
| DOI: | 10.1177/0036933015598122 |
| Popis: | Introduction Visceral artery aneurysms are very rare. Patients usually present as emergency secondary to the sudden rupture of the aneurysm or as an incidental finding on ultrasound, MRI or abdominal computed tomography. Among these, splenic artery aneurysms are the most common ones accounting for 60% of all splanchnic aneurysms and gastric and gastroepiploic aneurysms account for only about 4%. Case presentation We present a 61-year-old Caucasian male previously fit and well, presenting with sudden onset epigastric pain due to retroperitoneal haemorrhage secondary to ruptured left gastric artery aneurysm. Apart from a tender epigastrium, there were no other obvious signs elicited on abdominal examination. He had persistent tachycardia and haemoglobin drop from 10 g/dl to 6.7 g/dl. He underwent a contrast computed tomography which identified the ruptured left gastric artery. The aneurysm was controlled successfully with coil embolisation of the left gastric artery. At three-month follow–up, there was no evidence of the aneurysm. Conclusion Clinical presentations that do not correlate with examination finding should prompt immediate extensive investigation. The aid of contrast computed tomography and minimally invasive radiological interventional is the key to a fruitful outcome for this very rare entity. |
| Databáze: | OpenAIRE |
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