Ruptured Left Gastric Artery Aneurysm Associated with Fibromuscular Dysplasia

2021 ◽  
pp. 153857442110542
Author(s):  
Kelvin K. F. Ho ◽  
Gary Foo ◽  
John Bingley ◽  
Kendal Redmond
Keyword(s):  
Fibromuscular Dysplasia ◽  
Artery Aneurysm ◽  
Left Gastric Artery ◽  
Endovascular Embolization ◽  
Visceral Artery ◽  
Gastric Artery ◽  
Atherosclerotic Vascular Disease ◽  
Clinical Notes ◽  
Visceral Artery Aneurysms ◽  
The Impact

Background: Fibromuscular dysplasia is a non-inflammatory, non-atherosclerotic vascular disease that commonly affects renal and carotid arteries but involvement of virtually any vascular territory has been observed. Research Design/ Study sample: This is a case report of a ruptured left gastric artery aneurysm as the first presentation of fibromuscular dysplasia. Data collection: After written consent from the patient, relevant clinical notes and imaging were retrospectively reviewed and critically analysed. Purpose: This case reiterates the importance of considering fibromuscular dysplasia as an uncommon cause of visceral artery aneurysms. In addition, this case shows that the impact of visceral artery vasospasm on endovascular access should not be underestimated and subsequent attempts can be successful after a period of resuscitation. Results: After initial difficulty in endovascular treatment due to visceral vasospasm, the case was successfully managed with with staged open ligation and endovascular embolization after a period of resuscitation. Conclusions: FMD is an important differential diagnosis to consider in cases of visceral aneurysms.

scholarly journals Spontaneous haemorrhage from a left gastric artery aneurysm as a cause of acute abdominal pain

2017 ◽  
Vol 99 (2) ◽  
pp. e49-e51 ◽  
Author(s):  
CR Gregory ◽  
VK Proctor ◽  
SM Thomas ◽  
K Ravi
Keyword(s):  
Acute Abdominal Pain ◽  
Early Recognition ◽  
Artery Aneurysm ◽  
Left Gastric Artery ◽  
Visceral Artery ◽  
Gastric Artery ◽  
Risk Of Rupture ◽  
Visceral Artery Aneurysms ◽  
Impact On Survival ◽  
Spontaneous Haemorrhage

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.

Endovascular Treatment of Visceral Artery Aneurysms

2002 ◽  
Vol 9 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Andreas Gabelmann ◽  
Johannes Görich ◽  
Elmar M. Merkle
Keyword(s):  
Endovascular Treatment ◽  
Necrotizing Pancreatitis ◽  
Artery Aneurysm ◽  
Endovascular Embolization ◽  
Visceral Artery ◽  
Recurrent Bleeding ◽  
Visceral Artery Aneurysms ◽  
Long Term Follow Up ◽  
Transcatheter Coil Embolization

Purpose: To review a 10-year experience with endovascular embolization of visceral artery aneurysms. Methods: Twenty-five patients (13 men; mean age 52.1 years, range 31–80) presented with VAAs of varying locations and etiologies: 10 splenic, 3 gastroduodenal, 2 pancreaticoduodenal, 3 hepatic, 3 superior mesenteric, 2 celiac, 1 left gastric, and 1 jejunoileal. Ten patients were asymptomatic; 7 aneurysms were ruptured. Transcatheter coil embolization was the treatment of choice in all patients. Results: Coil placement was initially (<7 days) successful in 23 (92%) patients. One superior mesenteric artery aneurysm remained perfused, and recurrent bleeding occurred 2 days after intervention in 1 case, but repeated embolization excluded the aneurysm. One patient with necrotizing pancreatitis died from sepsis 10 days after endovascular treatment and surgery (4% 30-day mortality). Long-term follow-up revealed excellent results after an average 48.7 months (range 14–75) with only 1 recurrence after 12 months. Conclusions: Embolotherapy is the treatment of choice in visceral artery aneurysms, regardless of etiology, location, or clinical presentation.

scholarly journals The Aftermath of a Hepatic Artery Aneurysm—A Rare Etiology of Biliary Obstruction!

2017 ◽  
Vol 10 ◽  
pp. 117955221771143 ◽  
Author(s):  
Catherine Linzay ◽  
Abhishek Seth ◽  
Kunal Suryawala ◽  
Ankur Sheth ◽  
Moheb Boktor ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Artery ◽  
Significant Risk ◽  
Artery Aneurysm ◽  
Biliary Tree ◽  
Visceral Artery ◽  
Biliary Stenting ◽  
Hepatic Artery Aneurysm ◽  
Skin Imaging ◽  
Visceral Artery Aneurysms

Background: Hepatic artery aneurysms (HAAs) constitute 14% to 20% of visceral artery aneurysms. Most HAAs are asymptomatic. Although rare, obstructive jaundice due to external bile duct compression or rupture of the HAA into the biliary tree with occlusion of the lumen from blood clots has been reported. Case presentation: A 56-year-old white man presented to an outside hospital with symptoms of obstructive jaundice, including abdominal pain and yellowing of the skin. Imaging showed a large HAA. Patient was transferred to our hospital where an endoscopic retrograde cholangiopancreatography with biliary stenting was performed. This was followed by coil embolization of the HAA with improvement in symptoms and liver chemistries. Conclusions: Most clinicians agree that management of HAA is highly variable and depends on clinical presentation and anatomic location. Biliary stenting provides temporary relief for patients with obstructive jaundice. Definitive options include open aneurysmal repair versus endovascular therapy. Hepatic artery aneurysms represent a significant risk for hemorrhage and therefore must be addressed promptly once discovered.

Visceral artery aneurysm: an unusual cause of abdominal pain

2020 ◽  
Vol 13 (12) ◽  
pp. e238019
Author(s):  
Maha Al Baghdadi ◽  
Parekha Yedla
Keyword(s):  
Abdominal Pain ◽  
Multiorgan Failure ◽  
Artery Aneurysm ◽  
Gastroduodenal Artery ◽  
Visceral Artery ◽  
Caucasian Woman ◽  
Visceral Artery Aneurysm ◽  
Visceral Artery Aneurysms

Visceral artery aneurysms (VAAs) are uncommon with an approximate incidence of 0.01%–0.2%. Gastroduodenal artery (GDA) aneurysm is a rare subtype of these uncommon visceral aneurysms that can be fatal if ruptured. We present a case of a 58-year-old Caucasian woman with a VAA and a large haematoma arising from an actively bleeding GDA. While patients with VAA may remain asymptomatic, with some of the aneurysms found incidentally during imaging, they may also present with abdominal pain, anaemia and possible multiorgan failure which may be fatal.

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 ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Splenic Artery ◽  
Acute Abdominal Pain ◽  
Artery Aneurysm ◽  
Left Gastric Artery ◽  
Gastric Artery ◽  
Artery Thrombosis
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