Splenic artery thrombosis and rupture of left gastric artery aneurysm: an unusual cause of acute abdominal pain

2013 ◽  
Vol 33 (1) ◽  
pp. 87-88
Author(s):  
Alessandro Andriani ◽  
Angelo Zullo ◽  
Umberto Recine ◽  
Angela Barbara ◽  
Sergio Minucci ◽  
...  
2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Anna Maria Ierardi ◽  
Mario Petrillo ◽  
Alessandro Bacuzzi ◽  
Chiara Floridi ◽  
Gianlorenzo Dionigi ◽  
...  

2017 ◽  
Vol 99 (2) ◽  
pp. e49-e51 ◽  
Author(s):  
CR Gregory ◽  
VK Proctor ◽  
SM Thomas ◽  
K Ravi

Visceral artery aneurysms are rare, with a reported incidence of less than 2% in the general population. 1,2 Aneurysms of the left gastric artery are particularly uncommon, accounting for 4% of all visceral aneurysms. 3,4 Although the majority are discovered incidentally and can be managed conservatively, prompt treatment of those ruptured or at risk of rupture is crucial to reduce the associated morbidity. Increasing awareness of visceral artery aneurysms as a cause of spontaneous intraperitoneal haemorrhage will improve early recognition and impact on survival. We present a rare case of spontaneous rupture of a left gastric artery aneurysm.


2021 ◽  
Vol 14 (4) ◽  
pp. e240533
Author(s):  
Rute Castelhano ◽  
Khine Myat Win ◽  
Sara Carty

Abdominal pain is a very common presentation in the accident and emergency department. However, vasculitis is not the usual first differential diagnosis. This paper discusses a case of polyarteritis nodosa presenting with acute abdominal pain alone. Common surgical conditions were obviously considered, but they were not found to cause the patient’s problems. We describe how investigations led to this diagnosis discussed in detail in this paper. It is important to remember that prompt recognition of unusual life-threatening conditions can lead to timely intervention.


2014 ◽  
Vol 32 (5) ◽  
pp. 491.e3-491.e4 ◽  
Author(s):  
Seungwoon Choi ◽  
Seokyong Ryu ◽  
Taekyung Kang ◽  
Hyejin Kim ◽  
Sungchan Oh ◽  
...  

1984 ◽  
Vol 35 (3) ◽  
pp. 455-468 ◽  
Author(s):  
A.B. Boekelaar ◽  
B. Baljet ◽  
J. Drukker

In this study the arterial vascular supply of the upper abdominal organs in the rat was investigated. In general the main anatomical features seem to be in accordance with the anatomy in man. However there are some important differences worth mentioning and the nomenclature used in the rat is not adequate in all respects: 1. The branch of the celiac artery which bifurcates into the hepatic artery proper and the gastroduodenal artery should not be given the incorrect name hepatic artery but is named common hepatic artery. 2. The hepato-esophageal artery is a constantly present branch of the hepatic artery proper running in the hepatogastric ligament. 3. The right gastric artery, present in about 40% of the specimens, is a branch of the gastroduodenal artery which runs towards the lesser curvature where it communicates freely with a left gastric artery branch. 4. The gastrosplenic artery is one of the branches of the splenic artery. It divides into a gastric and a splenic branch. The gastric branch is the only short gastric artery present in the rat. 5. A gastro-epiploic artery at the splenic side of the stomach is not present in the rat. The continuation of the splenic artery into the greater omentum has been referred to as the left epiploic artery. Anastomoses with epiploic branches of the gastro-epiploic artery are present in the greater omentum.


2021 ◽  
pp. 20200194
Author(s):  
Hassan Al-Balas ◽  
Zeyad A. Metwalli ◽  
David M. Sada

Life-threatening upper gastrointestinal (GI) hemorrhage can occur as a result of bleeding from a variety of arterial and venous sources. We present an unusual cause of life-threatening upper GI hemorrhage arising from ectatic gastric wall arterial branches in a 49-year-old male with previously unrecognized chronic splenic artery thrombosis. The patient developed a recurrence of bleeding despite coil embolization of an accessory left gastric artery branch supplying the gastric fundus suspected to be the site of active bleeding. The patient subsequently underwent splenectomy and surgical ligation of a bleeding gastric artery branch. This case emphasizes the importance of recognizing this unusual cause of upper GI hemorrhage for proper management and prevention of recurrence. Informed consent was obtained from the patient for publication of the case report including accompanying images.


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