A Case of Hemoperitoneum due to Splanchnic Artery (Left gastric artery) Aneurysmal Rupture.
- Author:
Soo Hee HONG
1
;
Jeong Seok LEE
;
Jong Hoon YOO
;
Eui Hyuk CHOI
;
Moo Yeol LEE
;
Hyung Joo KWON
;
Young Woo PARK
;
Cheol Ho LEE
;
Young Mug KIM
;
Dong Yun LEE
;
Joon Sang LEE
Author Information
1. Department of Internal Medicine, Wallace Memorial Baptist Hospital, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Splanchnic artery;
aneurysm;
Left gastric artery
- MeSH:
Aneurysm*;
Angiography;
Arteries*;
Arteriosclerosis;
Arteritis;
Collagen;
Diagnosis;
Emergencies;
Hemoperitoneum*;
Humans;
Inflammation;
Ligation;
Necrosis;
Rupture*;
Vascular Diseases
- From:Korean Journal of Medicine
1998;55(3):411-414
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Splanchnic artery aneurysms, previously thought to be rare, are being diagnosed with incresed frequency because of development of noninvasive imaging techniques. The pathogenesis of visceral aneurysms is varied and may be secondary to arteriosclerosis (30%), trauma (25%), inflammation (11%), gestational alteration, surgery, infection, medial necrosis, collagen vascular disease, arteritis, and congenital anomalies. Clinical manifestation of visceral artery aneurysms is vague and not specific. The diagnosis and treatment for them are difficult. Preoperative arteriography may be helpful in emergency situation to detect the aneurysm and visualize multiple aneurysms. Surgical ligation, resection and/or reconstructive surgery are first choice of treatment for them. Otherwise, transarterial embolization has also been reported for them recently. We report a case of hemoperitoneum due to left gastric artery aneurysmal rupture and a rare complication of splanchnic artery aneurysm "Double rupture". The patient was treated successfully with simple ligation of the ruptured vessel.
