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.

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.

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

scholarly journals Successful Endovascular Treatment of a Giant Hepatic Artery Aneurysm with Dual Layer Stents Placement as Flow-Diverting Option: Case Report

2019 ◽  
Vol 7 (3) ◽  
pp. 403-406 ◽  
Author(s):  
Aleksandar Gjoreski ◽  
Filip Risteski ◽  
Gjorgji Damjanoski
Keyword(s):  
Hepatic Artery ◽  
Artery Aneurysm ◽  
Visceral Artery ◽  
Hepatic Artery Aneurysm ◽  
Closed Cell ◽  
Risk Of Rupture ◽  
Visceral Artery Aneurysms ◽  
Life Threatening ◽  
Threatening Situation ◽  
New Generation

BACKGROUND: Visceral artery aneurysms are rare conditions. The incidence of hepatic artery aneurysm (HAA) accounts for approximately 20% of all splanchnic aneurysms. HAA can become a life-threatening situation because there is a great risk of rupture when it grows more than 2 cm in diameter. CASE PRESENTATION: In this article, we describe a case of a 54-year-old female patient with large hepatic artery aneurysm which was incidentally founded. From symptoms, she had abdominal discomfort slightly worsening after meals, frequent pain in mesogastrium and reported some unexplained weight loss in the last few months. The lesion was detected by CT examination of the abdomen and pelvis. CONCLUSION: The aneurysm was successfully treated at our department with the endovascular approach, by covering the aneurysmal sac with two stents, one closed cell and one double-layer micromesh new generation stent as a flow diverting option.

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.

scholarly journals Current management strategies for visceral artery aneurysms: an overview

Surgery Today ◽  
2019 ◽  
Vol 50 (1) ◽  
pp. 38-49 ◽  
Author(s):  
Hideaki Obara ◽  
Matsubara Kentaro ◽  
Masanori Inoue ◽  
Yuko Kitagawa
Keyword(s):  
Mesenteric Artery ◽  
Management Strategies ◽  
Hybrid Approach ◽  
Celiac Artery ◽  
Visceral Artery ◽  
Anatomical Location ◽  
Current Management ◽  
Risk Of Rupture ◽  
Visceral Artery Aneurysms ◽  
History Of

Abstract Visceral artery aneurysms (VAAs) are rare and affect the celiac artery, superior mesenteric artery, and inferior mesenteric artery, and their branches. The natural history of VAAs is not well understood as they are often asymptomatic and found incidentally; however, they carry a risk of rupture that can result in death from hemorrhage in the peritoneal cavity, retroperitoneal space, or gastrointestinal tract. Recent advances in imaging technology and its availability allow us to diagnose all types of VAA. VAAs can be treated by open surgery, laparoscopic surgery, endovascular therapy, or a hybrid approach. However, there are still no specific indications for the treatment of VAAs, and the best strategy depends on the anatomical location of the aneurysm as well as the clinical presentation of the patient. This article reviews the literature on the etiology, clinical features, diagnosis, and anatomic characteristics of each type of VAA and discusses the current options for their treatment and management.

scholarly journals An anomalous engenderment of a common scenario: upper gastrointestinal bleeding

2017 ◽  
Vol 6 (1) ◽  
pp. 362
Author(s):  
Tirth Nayan Vasa ◽  
Mukhayprana Prabhu ◽  
Rajagopal K. V. ◽  
Devavrata Sahu ◽  
Harnish Bhatia
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Rapid Assessment ◽  
Visceral Artery ◽  
Oesophageal Varices ◽  
Early Management ◽  
Ulcer Disease ◽  
Risk Of Rupture ◽  
Visceral Artery Aneurysms ◽  
Upper Gastrointestinal

Upper gastrointestinal bleeding (UGIB) includes hemorrhage originating from the esophagus to the ligament of Treitz. It is a gastrointestinal emergency that can result in significant morbidity, mortality, along with laborious utilization of health-care resources. With the advent of definite management protocols, the recent trends have revealed that patients rarely die from exsanguination, with decompensation of the underlying disorders, rather, proving to be causative of the same. Rapid assessment, resuscitation, and early endoscopic investigation serve as the foundation of early management. Common sinister underlying aetiology include Oesophageal Varices, Peptic Ulcer Disease, NSAID Induced Acute Gastritis or Malignancy. Arising from a conglomeration of aetiologies, an infrequent one, is a silently sinister pseudoaneurym rupturing into the stomach, stemming from a visceral artery. Since the first description by Beaussier in 1770, the condition has been detected with increasing frequency, primarily as a consequence of the increasing use of accurate imaging methods. Coeliac artery aneurysms (CAAs) occur in approximately 0.2% of the overall population and constitute approximately 4% of all visceral artery aneurysms (VAAs). Their risk of rupture is estimated at 10% to 15% and is associated with high mortality. Associated risk factors include atherosclerosis, hypertension, systemic inflammation, trauma, collagen vascular disease, infection, fibromuscular dysplasia, and cirrhosis

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.

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