Successful Laparoscopic Right Gastroepiploic Aneurysmectomy: Report of a Case

Yamabuki, Takumi; Kojima, Tetsufumi; Shimizu, Tetsuya; Kitashiro, Shuji; Konishi, Kazuo; Katoh, Takashi; Katoh, Hiroyuki

doi:10.1007/s00595-002-2630-8

Cited by 20 publications

(13 citation statements)

References 15 publications

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“…[7][8][9][10][11][12][13][14][16][17][18][19]22,24,26 Transarterial embolization of the aneurysm has also been performed in four cases with success. This treatment is now performed on a wide range of visceral arterial aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Sonographic detection of an aneurysm of the gastroepiploic artery

Kato

Ishida

Komatsuda

et al. 2009

J of Clinical Ultrasound

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Gastroepiploic artery aneurysm (GEAA) is very rare.1 Furthermore, most GEAA cases are diagnosed after their rupture. We report a case of asymptomatic GEAA. The patient was a 61-year-old man. Sonography (US) revealed a 2-cm anechoic mass in the epigastrium near the anterior abdominal wall. Color Doppler US and contrast-enhanced US showed arterial flow within the mass leading to the diagnosisof visceral artery aneurysm. CT and angiography confirmed the diagnosis of right GEAA, and the aneurysm was treated successfully with embolization. Follow-up US 6 months later confirmed the absence of blood flow within the lesion.

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Section: Discussionmentioning

confidence: 99%

Sonographic detection of an aneurysm of the gastroepiploic artery

Kato

Ishida

Komatsuda

et al. 2009

J of Clinical Ultrasound

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“…Recently, laparoscopic surgery has been increasingly accepted as a surgical approach to treat unruptured visceral artery aneurysms when transcatheter arterial embolization is impossible . Laparoscopic surgery for visceral artery aneurysms has been performed in 55 cases (Table ) . Resection of the aneurysm, including the adjacent organ, was performed in 51 of these cases (93%); the remaining four patients underwent ligation of the aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for the treatment of a ruptured aneurysm of the right gastric artery: a case report

Toyoda¹,

Kyokane²,

Kawai³

et al. 2016

Asian J Endoscop Surgery

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Laparoscopic surgery for the treatment of a ruptured visceral artery aneurysm is recognized as a challenging procedure. Here, we describe our experience with laparoscopic surgery to treat a ruptured aneurysm of the right gastric artery. A 72-year-old woman was diagnosed with intra-abdominal hemorrhage caused by a ruptured aneurysm of the right gastric artery. Transcatheter arterial embolization failed because the right gastric artery could not be cannulated. Therefore, we performed laparoscopic surgery. Using laparoscopy, we detected that the bleeding from the aneurysm had ceased; thus, the planned procedure was successful. The operative time and intraoperative blood loss were 100 min and 5 mL, respectively. The patient was discharged 7 days after surgery. Laparoscopic surgery after the failure of transcatheter arterial embolization is a suitable and safe procedure for ruptured visceral artery aneurysms, provided the circulatory dynamics are stable as a result of the temporary cessation of bleeding from the ruptured aneurysm.

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“…This has traditionally been followed by surgical correction. The surgical management consists of resection of the aneurysm, ligation of the feeding vessels or some forms of arterial reconstruction [ 5 , 13 ]. Radiological intervention with embolisation of the feeding vessel is an option in splanchnic aneurysms.…”

Section: Discussionmentioning

confidence: 99%