Spontaneous hemoperitoneum due to rupture of short gastric artery after vomiting

García-García, Mª Luisa; Miguel-Perelló, Joana; García-Marín, José Andrés; Morales-Cuenca, Germán; Coll-Salinas, Antonio; Aguayo-Albasini, José Luís

doi:10.4321/s1130-01082012000900012

Cited by 3 publications

(2 citation statements)

References 7 publications

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“… 4 Other causes include malignancy (gastrointestinal stromal tumour, hepatic or renal tumour), gynaecological disorders (ectopic pregnancy rupture, uterine myomas and endometriosis), blunt trauma and idiopathic or excessive anticoagulation. 5 The common vessels to rupture are the left gastric artery, superior mesenteric artery and the splenic artery. Abdominal apoplexy secondary to rupture of short gastric vessels is exceedingly rare.…”

Section: Discussionmentioning

confidence: 99%

Vomiting-induced short gastric artery apoplexy

et al. 2017

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Abdominal apoplexy due to short gastric artery rupture following vomiting is an exceedingly rare condition. It results from non-traumatic and non-iatrogenic causes. This entity has variable clinical presentation and patients usually present with non-specific abdominal pain. Imaging plays a vital role in early diagnosis, as immediate exploratory laparotomy is the treatment of choice for successful outcome and helps to reduce mortality rate. We report the case of a 27-year-old male patient who presented to the emergency department with acute-onset abdominal pain after multiple episodes of vomiting following binge alcohol drinking. Contrast-enhanced CT revealed intraperitoneal haemorrhage secondary to vessel rupture, probably from a short gastric artery. Intraoperatively, the short gastric artery was identified as the bleeding source and ligated. The patient had an uneventful postoperative course.

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Section: Discussionmentioning

confidence: 99%

Vomiting-induced short gastric artery apoplexy

et al. 2017

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“…In a literature review, we found 14 cases since 1994. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] The clinical characteristics were highly unusual, and the patients typically required emergent surgery. Early diagnosis would be possible if the clinician was aware of the clinical entity.…”

Section: Introductionmentioning

confidence: 99%

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

Hong

Chang

Lee

et al. 2016

Korean J Gastroenterol

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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)

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A case of abdominal apoplexy because of the rupture of the short gastric vessel

Osunkunle

Al-Shoek

2015

Journal of Surgical Case Reports

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Abdominal apoplexy or idiopathic spontaneous intraperitoneal haemorrhage is defined as the presence of free blood within the peritoneal cavity. Non-traumatic and non-iatrogenic causes may cause abdominal apoplexy. It has a variable clinical presentation, with abdominal pain being an early and non-specific symptom. We report a rare case of a 23-year-old male with abdominal apoplexy because of rupture of the short gastric artery. He presented to our department with abdominal pain. Later, he developed signs of shock, and was found to have haemoperitoneum on laparotomy. We ligated the short gastric artery, which was the bleeding source, and he had an uneventful postoperative course. We also review the literature on existing cases of short gastric vessel rupture.

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Spontaneous hemoperitoneum due to rupture of short gastric artery after vomiting

Cited by 3 publications

References 7 publications

Vomiting-induced short gastric artery apoplexy

Vomiting-induced short gastric artery apoplexy

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

A case of abdominal apoplexy because of the rupture of the short gastric vessel

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