A rare case of spontaneous rupture of an aneurysm of the rig
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Visceral artery aneurysms at the origin of the gastric and gastroepiploic artery are uncommon. Raptured visceral aneurysms cause high mortality and require urgent and adequate intervention and treatment.

Presentation of case
A 65-year-old woman was transferred to the emergency department with sudden abdominal and back pain. Radiographically, we diagnosed intra-abdominal bleeding due to a ruptured aneurysm of the right gastric artery. Although her vital signs were relatively stable, transcatheter arterial embolization (TAE) could not be performed due to thrombotic occlusion of her abdominal aorta, and bilateral axillary arteries. She underwent an emergency laparotomy with ligation of the root of the right gastric artery and resection of the aneurysm, following which she showed good recovery. Histologically, the right gastric artery showed atherosclerosis with an organizing mural thrombus...

http://bit.ly/2zH5BSW
Like
Comment
Share