Open AccessSeeing beyond the gut: An unusual cause of massive hematemesis
Author(s) -
Suresh Giragani,
AR Kasireddy,
M Sudhakar Rao,
CR Deevaguntla
Publication year - 2020
Publication title -
journal of postgraduate medicine/journal of postgraduate medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.405
H-Index - 52
eISSN - 0972-2823
pISSN - 0022-3859
DOI - 10.4103/jpgm.jpgm_424_19
Subject(s) - medicine , internal carotid artery , aneurysm , carotid arteries , surgery , radiology , pathophysiology , pathology
We report the clinical details, imaging findings, and management of a 74-year-old male who had recurrent episodes of massive hematemesis secondary to rupture of a cavernous internal carotid artery (ICA) aneurysm. Ruptured ICA aneurysms may present with epistaxis. However, intracranial aneurysmal rupture with hematemesis as the presenting complaint has not been described previously in the literature. In this case report we describe the pathophysiology of cerebral aneurysm as a cause of hematemesis and its management.