Spontaneous Rupture of the Right Gastroepiploic Artery Immediately after Gastroscopy
- Author:
Do Young JUNG
1
;
Hye-kyung JUNG
;
Yun Mi KO
;
Ayoung LEE
;
Ji Taek HONG
;
Chang Mo MOON
;
Seong Eun KIM
;
Chung Hyun TAE
;
Ki Nam SHIM
;
Sung Ae JUNG
;
Ran KIM
;
Sun Young CHOI
Author Information
- Publication Type:Case Report
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2021;21(3):235-238
- CountryRepublic of Korea
- Language:English
- Abstract: Idiopathic spontaneous intraperitoneal hemorrhage is both rare and potentially fatal. The incidence of gastroepiploic artery rupture, especially a non-aneurysmal rupture, is extremely low. We report the case of an elderly woman who was mistakenly diagnosed with procedure-related bleeding after gastroscopy. A 0.3 cm polyp was identified and removed during the procedure. The patient later developed shock due to which gastroscopy was repeated; however, no unusual findings were observed. Therefore, abdominopelvic computerized tomography was performed and gastroepiploic artery rupture was detected. Transcatheter arterial embolization was immediately performed without laparotomy, without any complications. The bleeding was controlled, and the patient was discharged after embolization. It is important to acknowledge the possibility of spontaneous rupture of the visceral arteries in elderly individuals with hypertension or atherosclerosis, especially in the event of sudden abdominal pain or shock immediately after an endoscopic procedure. This is the first case report of idiopathic spontaneous rupture of the right gastroepiploic artery successfully managed by transcatheter arterial embolization in South Korea.
