A rare case of spontaneous rupture of an aneurysm of the right gastric artery

Abstract

HighlightsWe report here a rare case of intra-abdominal bleeding from a ruptured aneurysm of the right gastric artery.Transcatheter arterial embolization (TAE) could not be adopted due to thrombotic occlusion of arteries, so we performed an urgent laparotomy.We should not hesitate to convert endovascular approach into a laparotomy in an emergency situation.

A rare case of haemorrhagic shock secondary to spontaneous rupture of a branch of the left colic artery and the right gastric artery

“…3 There have been eight documented cases of right gastric artery rupture alone, the most recent in 2017, due to aneurysm secondary to atherosclerosis ( Table 1). 2 In this case, CT showed vessel rupture without any radiological evidence of prior aneurysm. Abnormal vascular remodelling secondary to disruption of vessel wall architecture appears to be the probable pathophysiological process behind the spontaneous rupture.…”

“…Right gastric artery aneurysmal rupture has been reported in eight cases, with one death. 1,2 We present the first case, to our knowledge, of spontaneous rupture of both a branch of the left colic and the right gastric arteries, possibly secondary to vasculitis.…”

Presentation of unruptured right gastric aneurysm due to segmental arterial mediolysis resected laparoscopically: A case report

“…Gastric artery aneurysms, an extremely rare condition, are classified into two types: the intramural type, which occurs beneath the gastric mucosa and can lead to intraluminal rupture with gastrointestinal bleeding, and the extravisceral type, which arises in the extramural arteries and can result in intraperitoneal hemorrhage upon rupture. The latter often proves to be fatal [ 9 ]. In this case, the patient presented with the extravisceral type, and upon thorough examination, no other aneurysms were detected.…”

Intraperitoneal bleeding from the right gastroepiploic artery by endoscopic ultrasonography: a case report

“…Most SAA cases originate from splenic artery aneurysms (60%), followed by hepatic artery aneurysms (20%), superior mesenteric artery aneurysms (5.5%), celiac artery aneurysms (4%), and GEA (0.4%) 3 ) . SAA are associated with arteriosclerosis, aortic dissection, infection, inflammation, trauma, and vasculitis 5 ) . The mortality rate after SSA rupture is reportedly as high as 70%; therefore, cases should be treated early after discovery 6 ) .…”