Open AccessHemorrhagic shock due to ruptured left and right gastric artery aneurysm
Author(s) -
Nishimura Takeshi,
Sakata Hiroyuki,
Yamada Taihei,
Osako Takaaki,
Kohama Keisuke,
Kako Yasukazu,
Achiwa Sachiko,
Furukawa Yoshitaka,
Nakao Atsunori,
Kotani Joji
Publication year - 2016
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.115
Subject(s) - medicine , hemoperitoneum , left gastric artery , radiology , angiography , aneurysm , embolization , shock (circulatory) , computed tomography angiography , hemorrhagic shock , artery , surgery
Case We report a case of hemorrhagic shock due to a ruptured gastric artery aneurysm successfully treated with transarterial embolization. A 72‐year‐old woman with cholangitis presented with hemoperitoneum following a ruptured aneurysm of the gastric artery. Outcome Emergent computed tomography and angiography were carried out and the patient was found to have spontaneous bleeding from both branches of the left and right gastric arteries. Transcatheter embolization was carried out at the distal branch of both gastric arteries with a coil. The patient recovered well with no recurrent bleeding. Conclusions Although rare, visceral artery rupture should be considered in the differential diagnosis of unexplained hemorrhagic shock with abrupt onset of hemoperitoneum. Computed tomography and angiography are useful tools for obtaining prompt and accurate localization of the bleeding points.