COIL EMBOLISATION OF RUPTURED LEFT GASTRIC ARTERY ANEURYSM

Authors

  • Mário Moreira Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Alfredo Gil Agostinho Radiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal
  • Joana Moreira Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Portugal
  • Luís Antunes Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Portugal
  • Manuel Fonseca Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Portugal

DOI:

https://doi.org/10.48750/acv.284

Keywords:

Left gastric artery, Aneurysm, Rupture

Abstract

Visceral artery aneurysms are rare, with an estimated incidence of less than 2% in the general population. Left gastric artery aneurysm are particularly uncommon, accounting for 4% of all visceral aneurysms. Usually an incidental finding, they can manifest with rupture and be life threatening. The authors present a case of an 83 year-old male with haemorrhagic shock caused by a ruptured left gastric artery aneurysm. Coil embolization of afferent and efferent arteries was performed with good morphologic results. Management of a ruptured visceral aneurysm is aimed at controlling life-threatening bleeding usually by embolisation in the emergency setting.

Downloads

Download data is not yet available.

References

1. Barrionuevo P, Malas MB, Nejim B, Haddad A, Morrow A, Ponce O, et al. A systematic review and meta-analysis of the management of visceral artery aneurysms. J Vasc Surg. 2019 May 21. (Epub ahead of print; doi: 10.1016/j.jvs.2019.02.024)

2. Nishimura T, Sakata H, Yamada T, Osako T, Kohama K, Kako Y, et al. Hemorrhagic shock due to ruptured left and right gastric artery aneurysm. Acute Medicine & Surgery. 2016;3: 39–42. (doi: 10.1002/ams2.115)

3. Chandran S, Parvaiz A, Karim A, Ghafoor I, Steadman B, Pearce NW, et al. Ruptured Left Gastric Artery Aneurysm Successfully Treated by Thrombin Injection: Case Report and Literature Review. Sci World J. 5(2005):20-23. (doi: 10.1100/tsw.2005.8)

4. Valluru B, Yang B, Sharma K, Adam AA, Wei D, Zhou Z, et al. Signi!cance of radiology in the diagnosis and management of ruptured left gastric artery aneurysm associated with acute pancreatitis. Medicine. 2019 Mar. 98(10): e14824. (doi: 10.1097/MD.0000000000014824)

5. Saluja SS, Ray S, Gulati MS, Pal S, Sahni P, Chattopadhyay TK. Acute cholecystitis with massive upper gastrointestinal bleed: A case report and review of the literature. BMC Gastroenterol. 2007 Mar; 7:12. (doi: 10.1186/1471-230X-7-12)

Downloads

Published

2020-02-07

How to Cite

1.
Moreira M, Agostinho AG, Moreira J, Antunes L, Fonseca M. COIL EMBOLISATION OF RUPTURED LEFT GASTRIC ARTERY ANEURYSM. Angiol Cir Vasc [Internet]. 2020 Feb. 7 [cited 2024 Dec. 27];15(4):262-4. Available from: https://acvjournal.com/index.php/acv/article/view/284

Issue

Vol. 15 No. 4 (2019): December

Section

Clinical Case