Aneurysms of the left gastric and splenic arteries presenting with massive upper gastrointestinal bleeding

The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms

“…1,144 Axial imaging as recommended will screen for concomitant nonaortic intra-abdominal arterial aneurysms, which are common. 136,139,145 We recommend screening for cerebrovascular and coronary artery aneurysm when the diagnosis of segmental arterial mediolysis is suspected, given the systemic nature of this arterial dysplasia, with one-time screening CTA or MRA of the head, neck, and chest. 136,146 We recommend routine interval surveillance (ie, every 12 months) with axial imaging (ie, CTA or MRA) in cases of segmental medial arteriolysis in light of reported cases of rapid arterial transformation.…”

Arterial congestive gastropathy: a new entity?

“…tender masses, or they can undergo erosion or rupture with massive bleeding [4,5]. We present the first case of arterial congestive gastropathy ever described.…”