Spontaneous Bleeding from a Short Gastric Artery after Vomiting Successfully Treated without Surgery

Abstract

Spontaneous bleeding from a short gastric artery in the absence of pre-disposing trauma is reported very rarely. To the best of our knowledge, the published literature includes only 14 cases. Young men comprise almost all of the patients, and were induced by vomiting or gagging. The patients usually required emergent surgery. Our patient, a 32-year-old man, was diagnosed with spontaneous hemoperitoneum due to short gastric artery tearing after a few instances of vomiting. We managed him conservatively including fluid, vitamin K and antifibrinolytic agent without surgery. (Korean J Gastroenterol 2016;68:152-155)

Idiopathic Spontaneous Intraperitoneal Hemorrhage due to Rupture of Short Gastric Artery Presenting as Massive Gastrointestinal Bleeding: A Rare Case Presentation and Literature Review

“…Vomiting for any reason is suggested as a common precursor toward short gastric artery rupture. It has been conceptualized that vomiting may cause gastric twisting, which pulls on the gastrosplenic ligament resulting in a short gastric artery rupture [8][9][10]. We could not find any case reported in the literature in which intraperitoneal hematoma has presented with massive gastrointestinal bleeding.…”