Haemoperitoneum caused by a dissecting aneurysm of the gastroepiploic artery

Spontaneous rupture of the right gastroepiploic artery: unusual cause of acute abdomen and shock

“…The splanchnic vessels most commonly involved are the splenic (56%), hepatic (19%), superior mesenteric (8%) and gastric (5%) [ 1 ]. The incidence of a gastroepiploic artery rupture is rare, account for 4.5% of the overall splanchnic origins of idiopathic spontaneous intraperioneal bleeding [ 6 , 7 ].…”

Sonographic detection of an aneurysm of the gastroepiploic artery

“…There is a high rate of rupture (18/24, or 75%). 2,6,7,9,14,17,18,[20][21][22][23][25][26][27] The etiology was not described in 11 cases, and in the other 13 cases, it included atherosclerosis (including three dissecting cases) (8 cases), 7,9,11,12,14,[17][18][19] inflammatory process (one case), 20 systematic disease (two cases), 13,27 and trauma (two cases). 2,16 The aneurysm was single in all cases, and sizes ranged between 7-75 mm, with an average of 26 mm.…”

“…Clinical manifestations were generally similar to those of other visceral arterial aneurysms, with abdominal pain in 16/24 cases (67%). [7][8][9][10][11][12][13]14,17,[20][21][22][23][25][26][27] Abdominal imaging often begins with US. If necessary, color Doppler US is also used.…”

“…[7][8][9][10][11][12][13][14][16][17][18][19]22,24,26 Transarterial embolization of the aneurysm has also been performed in four cases with success. This treatment is now performed on a wide range of visceral arterial aneurysms.…”