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Short gastric artery apoplexy after gagging
1Department of Internal Medicine, Horizon Medical Center, Dickson TN 37055, USA. fijabr@gmail.com
Le Journal Medical Libanais. the Lebanese Medical Journal
|December 4, 2012
Summary
Abdominal apoplexy, or spontaneous internal bleeding, can occur from short gastric artery rupture. A rare case involved forceful gagging during teeth brushing, highlighting the need for early diagnosis in emergency settings.
Area of Science:
- Gastroenterology
- Emergency Medicine
- Vascular Surgery
Background:
- Abdominal apoplexy is spontaneous hemorrhage into the peritoneal cavity, often from visceral vessel rupture.
- Risk factors include pregnancy, hypertension, atherosclerosis, trauma, and inflammatory conditions.
- Short gastric artery rupture is a less common but critical cause of acute abdomen.
Observation:
- A patient presented with acute hemoperitoneum due to spontaneous short gastric artery bleeding.
- The hemorrhage was triggered by forceful gagging while brushing teeth.
- This represents a highly unusual etiology for abdominal apoplexy.
Findings:
- The patient underwent laparotomy for diagnosis and management.
- Suture ligation successfully controlled the bleeding from the short gastric artery.
- Treatment involved blood transfusion and fluid resuscitation.
Implications:
- This case underscores the importance of considering rare causes of abdominal apoplexy in emergency diagnosis.
- Forceful gagging can be an unrecognized trigger for visceral artery rupture.
- Early recognition and prompt surgical intervention are crucial for favorable outcomes in acute hemoperitoneum.
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