A Case of Ruptured Left Gastroepiploic Artery Aneurysms Successfully Treated with Surgical Intervention

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  • 緊急手術により救命しえた左胃大網動脈瘤破裂の1例

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Abstract

<p>A 83-year-old woman was transferred to a local hospital with abdominal pain. A contrast-enhanced CT scan revealed intraabdominal hemorrhage and left gastroepiploic artery aneurysms, so she was transferred to our hospital for treatment. Although we tried transcatheter arterial embolization, we could not complete the procedure because of the meandering nature and narrowing of the blood vessel. We therefore performed an emergency abdominal operation. The operative findings showed intraabdominal hemorrhage which reached 2,200mL and two aneurysms of the left gastroepiploic artery. We resected a part of the greater omentum including the aneurysms. Recently, transcatheter arterial embolization is often successfully performed for the rupture of intraabdominal arterial aneurysms, but the life of the patient in the present study was saved with an emergency abdominal operation.</p>

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