Ruptured Gastroepiploic Aneurysm

Angelis, Michele De; Vogel, C.; Horowitz, B.; Gold, Burton M.; G, Turi; Solsi, Anup; Colantonio, Angela; Opper, F.

doi:10.1097/00004836-199404000-00031

Cited by 9 publications

(8 citation statements)

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“…The risk of rupture of gastric and gastroepiploic artery has been reported as up to 90%, with mortality reaching to about 70% [3]. The corresponding figures for hepatic artery, coeliac artery and splanchnic artery are 20-44%, 13%, and 2-20% respectively [5,9,10].…”

Section: Discussionmentioning

confidence: 99%

“…In hemodynamic unstable patients, such as those with ruptured aneurysms, the diagnosis is usually made on laparotomy [7,9]. In other situations, useful diagnostic imaging modalities include computerized tomography (CT) with intravenous administration of contrast material, MR angiography or ultrasonography with color Doppler flow imaging or spectral waveform imaging [9].…”

Section: Discussionmentioning

confidence: 99%

“…In other situations, useful diagnostic imaging modalities include computerized tomography (CT) with intravenous administration of contrast material, MR angiography or ultrasonography with color Doppler flow imaging or spectral waveform imaging [9].…”

Section: Discussionmentioning

confidence: 99%

“…This will help to characterize and differentiate aneurysms from other vascular abnormalities. Furthermore, EUS with dopplers have an added advantage as it is portable and there is no need for iodine-based intravenous contrast material or ionizing radiation [9,11,12]. However, selective visceral angiography remains the gold standard for accurate localization of visceral pseudoaneursyms [4,9].…”

Section: Discussionmentioning

confidence: 99%

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Left gastric artery pseudoaneurysm as a sequelae of chronic pancreatitis: recognizing a life-threatening complication

Pattanshetty

Bhat

2014

Open Medicine

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AbstractLeft gastric artery pseudoaneurysm is a rare but important life-threatening complication of chronic pancreatitis. We report a case of a 54-year-old male with chronic pancreatitis who presented with history of severe abdominal pain. Following an initial suspicion of acute pancreatitis, a computed tomography of abdomen was obtained that showed a large left gastric artery pseudoaneurysm (4×4 cm) with circumferential thrombosis. The patient then underwent successful angiographic coiling of the aneurysm, thus preventing a potentially life-threatening hemorrhage. In conclusion, in patients with a history of chronic pancreatitis who present with abdominal pain, a high index of suspicion should be maintained for alternate causes of abdominal pain such as visceral aneurysms involving left gastric artery. Early recognition is critical and consequences of missing these lesions can be catastrophic.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Left gastric artery pseudoaneurysm as a sequelae of chronic pancreatitis: recognizing a life-threatening complication

Pattanshetty

Bhat

2014

Open Medicine

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“…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.…”

Section: Discussionmentioning

confidence: 99%

Sonographic detection of an aneurysm of the gastroepiploic artery

Kato

Ishida

Komatsuda

et al. 2009

J of Clinical Ultrasound

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Gastroepiploic artery aneurysm (GEAA) is very rare.1 Furthermore, most GEAA cases are diagnosed after their rupture. We report a case of asymptomatic GEAA. The patient was a 61-year-old man. Sonography (US) revealed a 2-cm anechoic mass in the epigastrium near the anterior abdominal wall. Color Doppler US and contrast-enhanced US showed arterial flow within the mass leading to the diagnosisof visceral artery aneurysm. CT and angiography confirmed the diagnosis of right GEAA, and the aneurysm was treated successfully with embolization. Follow-up US 6 months later confirmed the absence of blood flow within the lesion.

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Successful Laparoscopic Right Gastroepiploic Aneurysmectomy: Report of a Case

et al. 2003

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A 75-year-old woman presented with a pulsatile, movable mass, about 5 cm in diameter, in her lower abdomen. Abdominal ultrasonography revealed a circular mass with a variable hypo- and isoechoic border and a hypoechoic center. Color Doppler echography showed blood flow in the hypoechoic center, which was strongly enhanced on contrast-enhanced computed tomography. Based on these findings, we diagnosed a splanchnic artery aneurysm; however, celiac arteriography, performed twice, could not definitively identify it. An operation was performed under the tentative diagnosis of an aneurysm of the superior mesenteric artery or the gastroepiploic artery. On laparoscopic exploration, a globe-shaped mass, about 5 cm in diameter, was found in the right side of the greater omentum, which was diagnosed as an aneurysm of the right gastroepiploic artery. We resected the aneurysm laparoscopically and the patient had an uneventful postoperative course. Thus, laparoscopic surgery was effective for this patient who required no vascular reconstruction.

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Ruptured Gastroepiploic Aneurysm

Cited by 9 publications

References 0 publications

Left gastric artery pseudoaneurysm as a sequelae of chronic pancreatitis: recognizing a life-threatening complication

Left gastric artery pseudoaneurysm as a sequelae of chronic pancreatitis: recognizing a life-threatening complication

Sonographic detection of an aneurysm of the gastroepiploic artery

Successful Laparoscopic Right Gastroepiploic Aneurysmectomy: Report of a Case

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