Spontaneous rupture of the right gastroepiploic artery: unusual cause of acute abdomen and shock

Abstract

Introduction: Spontaneous rupture of the right gastroepiploic artery is an extremely rare case which can be a cause of abdominal apoplexy.

Idiopathic spontaneous haemoperitoneum in pregnancy

“…5 Maternal mortality associated with SHiP dropped dramatically throughout the years to approximately 4%. 3,[6][7][8] Foetal mortality on the other hand remains high involving more than 1/3 rd of all cases with most deaths attributable to maternal shock. 3,[6][7][8] The patient was fortunate to have survived such an ordeal but unfortunately the baby died in utero due to severe asphyxia following massive blood loss.…”

“…9 Some cases were also reported during intrapartum and in the early postpartum period. [6][7][8]10 .…”

“…11 Interestingly in most cases with no identifiable source of haemoperitoneum, essential hypertension and arteriosclerosis were also thought to be responsible. 4,6,12 Endometriosis is another factor which has been implicated in some cases of spontaneous haemoperitoneum during pregnancy. Brosen et al quoted more than 50% of cases of SHiP is associated with endometriosis in.…”

Abdominal Apoplexy: Two Unusual Cases of Hemoperitoneum

“…In general, intraperitoneal or retroperitoneal hemorrhage may be secondary to blunt trauma, aneurysmal rupture (central or visceral), solid organ malignancy (hepatic or renal), or infl ammatory erosive processes (pancreatitis or pseudocyst); however, it may be idiopathic as well (2,3,5).…”

Proceedings Welcomes Dr. Andrew Fenves as Associate Editor

“…Th e exact mechanism is unknown but likely represents weakness of the tunica media, predisposing to rupture in the face of abrupt increases in pressure. Pathology specimens regularly exhibit disruption of elastic lamellae (3,5). An aneurysmic stage does not necessarily precede the spontaneous rupture of a visceral artery (4).…”