Acute gastric dilatation causing bacterial cerebral aneurysm--case report
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Updated: Jul 8, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Takeshi Matsuyama1, Satomin Komeda, Misato Nobayashi
1Department of Critical Care and Emergency Medicine, Nara Prefectural Nara Hospital, Nara city, Japan. tmatsuya@nmu-gw.naramed-u.ac.jp
Objective:
Acute gastric dilatation (AGD) is a very rare entity which can sometimes be life-threatening. We report a case of a patient presenting with a rupture of a BCA during the treatment of AGD.
Method:
A 24-year-old woman, who had a history of bulimia and vomiting episodes, was transferred in shock with marked abdominal distension. A large nasogastric tube was inserted, and 9 liters of viscous gastric contents were drained out. Her circulation became stable.
Results:
About 3 months after admission, she became drowsy and presented with a right hemiparesis and aphasia. Computed tomography of the head showed a diffuse thick subarachnoid hemorrhage. Left carotid angiograms revealed an obscurely-shaped aneurysm in the left middle cerebral artery.
Conclusion:
Trapping of the aneurysm was performed. Thirty-four days after admission, the patient had a residual right hemiparesis and motor aphasia, and was discharged.
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