A CASE OF LEFT GASTROEPIPLOIC ANEURYSM

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  • 左胃大網動脈瘤の１例

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Abstract

A 53-year-old man was transported to our hospital because of intraperitoneal apoplexy with a complaint of epigastralgia. Previously, he had undergone diatal gastrectomy (B-I) for a bleeding gastric ulcer. Abdominal CT revealed a fluid in the epigastric region and a sentinel clot sign. Emergency abdominal angiography examination showed swollen aneurysm in the left gastroepiploic artery 3 mm in size. No clear hemorrhaging was recognized. It was diagnosed from the above as a ruptured aneurysm of the left gastroepiploic artery. Because his general condition was comparatively stable and apoplexy was controlled, elective ablative surgery was performed on the left gastroepiploic artery aneurysm. An epiploic branch from the left gastroepiploic artery had an aneurysm 20 mm in diameter and was removed surgically. Pathologic findings revealed a pseudoaneurysm in an abscission specimen. The clinical course was good, and he was discharged on the seventh postoperative day.<br>We discussed an aneurysm of gastroepiploic artery from Japanese literatures.

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