Post-traumatic pseudoaneurysms of the left gastric artery: A case report

Abstract

Post-traumatic pseudoaneurysm of the gastric artery is very rare. Prompt diagnosis and management are necessary because mortality is high due to massive intra-abdominal hemorrhage. A 79-year-old man complained of abdominal pain after slipping down 2 days prior to admission. Abdominal computed tomography showed some hemoperitoneum with suspicious contrast leakage and aneurysmal change of the left gastric artery. Pseudoaneurysm of the left gastric artery was treated by angioembolization. After the angioembolization, he recovered without any problems. Delayed pseudoaneurysm of the gastric circulation should always be kept in mind as a possible cause of delayed hemoperitoneum.

Gastric Artery Injury Due to Blunt Abdominal Trauma

“…It is estimated that vascular injuries constitute approximately 3% of all traumatic incidents [9], and gastric artery injuries resulting from blunt abdominal trauma are rare. To the best of our knowledge, there are only eight previous reports, encompassing five cases of pseudoaneurysms [1][2][3][4][5] and three cases of active hemorrhage [6][7][8]. The direct mechanism of vascular injury was reported to be the result of rapid compression and drainage of abdominal organs attached to the abdominal wall with the great omentum from the impact of an external force on the upper abdomen [7].…”

“…Gastric artery injury resulting from blunt abdominal trauma occurs infrequently, with a total of only eight cases reported in published literature. These encompass five cases of pseudoaneurysms [1][2][3][4][5] and three cases of active hemorrhage [6][7][8]. Notably, all instances of active hemorrhage were managed through laparotomy and the subsequent ligation of the gastric artery [6][7][8].…”

Gastric necrosis after gastric artery embolization in a patient with blunt abdominal trauma: a case report

“…This bleeding is usually diagnosed by abdominal CT or during surgery [4]. Since intraabdominal hemorrhage is noncompressible, delayed bleeding control can lead to massive bleeding, which can be fatal [1].…”

“…Gastric arterial bleeding due to blunt trauma is uncommon [1]. However, if diagnosis or treatment is delayed, the bleeding can progress to a massive hemorrhage and cause death.…”

Left gastric artery pseudo-aneurysm post sleeve gastrectomy: A case report

“…Pseudo-aneurysms in the context of bariatric surgery occur following laparoscopic gastric band, gastric bypass and sleeve gastrectomy [ 4 , [9] , [10] , [11] , [12] , [13] ]. Thus, it is important to rule out pseudo-aneurysm of the gastric circulation as a delayed cause of delayed hemoperitoneum after trauma [ 14 ].…”