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

Andriani, Alessandro; Zullo, Angelo; Recine, Umberto; Barbara, Angela M.; Minucci, Sergio; Cao, Piergiorgio

doi:10.1007/s12664-012-0290-1

Cited by 2 publications

(4 citation statements)

References 9 publications

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“…Degenerative changes in the arterial wall or atherosclerosis is considered as the basis of true aneurysms. Some researchers also believe that it is an isolated lesion caused by inflammation or degeneration of the middle layer of the artery 20 . Pathogenesis of pseudoaneurysm is more complicated, and usually is not originated from arteriosclerosis.…”

Section: Discussionmentioning

confidence: 99%

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Coil embolization of asymptomatic left gastric artery aneurysm: Case report and literature review

Jia

Yuan

et al. 2023

Cathet Cardio Intervent

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Patients with visceral artery aneurysms are rare, and the reported incidence of left gastric aneurysm (LGA) is only 4%. At present, although there is little knowledge about such disease, it is generally believed that appropriate treatment should be planned to prevent some dangerous aneurysms from rupturing. We introduced a case of 83-year-old patient with LGA who underwent endovascular aneurysm repair.The 6-month follow-up computed tomography angiography showed complete thrombosis in the aneurysm lumen. In addition, to insight the management strategy on LGAs deeply, a literature review concerning this entity published in recent 35 years was performed.

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Section: Discussionmentioning

confidence: 99%

“…Some researchers also believe that it is an isolated lesion caused by inflammation or degeneration of the middle layer of the artery. 20 Pathogenesis of pseudoaneurysm is more complicated, and usually is not originated from arteriosclerosis. Some researchers believe that LGA is one of the complications of acute pancreatitis.…”

Section: Case Reportmentioning

confidence: 99%

Coil embolization of asymptomatic left gastric artery aneurysm: Case report and literature review

Jia

Yuan

et al. 2023

Cathet Cardio Intervent

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“…Left gastric artery pseudoaneurysms are extremely rare. The pathophysiology of visceral pseudoaneurysm has been attributed to atherosclerosis (30%), traumatic (25%), inflammatory (15%), infective embolic processes or medial dysplasia and arteritis, and rarely, visceral artery aneurysm is associated with spontaneous splenorenal shunt [3][4][5][6][7][8]. Left gastric artery pseudoaneurysms most frequently develop as a vascular complication to an adjacent inflammatory process such as pancreatitis [4].…”

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%

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

Cited by 2 publications

References 9 publications

Coil embolization of asymptomatic left gastric artery aneurysm: Case report and literature review

Coil embolization of asymptomatic left gastric artery aneurysm: Case report and literature review

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

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