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Ruptured gastric artery aneurysms: two cases and emergency imaging findings
Simon McQueen1, John Vedelago2, John Velkovic3
1Emergency Medicine, Coffs Harbour Base Hospital, Coffs Harbour, Australia.
BJR Case Reports
|October 27, 2018
Summary
Ruptured gastric artery aneurysms are rare causes of severe bleeding and shock. Familiarity with their imaging findings is crucial for emergency diagnosis and patient survival.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Gastric artery aneurysms are uncommon but can lead to life-threatening hemorrhage.
- Rupture poses a high mortality risk, necessitating prompt recognition.
Observation:
- Presents two cases of massive intra-abdominal hemorrhage and shock from ruptured gastric artery aneurysms.
- Highlights the typical anatomical location and associated hematoma patterns in the upper abdomen.
Findings:
- Describes characteristic imaging findings of intraperitoneal hemorrhage originating from the lesser omentum.
- Emphasizes the mass effect on surrounding viscera as a diagnostic clue.
Implications:
- Familiarity with these rare aneurysms is vital for emergency radiologists and clinicians.
- Improved diagnostic accuracy can lead to timely intervention and better patient outcomes.
- Understanding the pathophysiology aids in managing gastrointestinal and intra-abdominal bleeding.
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