Multiple Aneurysms or Pseudoaneurysms of the Gastroepiploic Artery: An Anecdotal Cause of Hemoperitoneum

Gastroepiploic artery aneurysms and pseudoaneurysms pose diagnostic challenges due to their rarity and overlapping radiological features. This case report presents an 82-year-old woman with sudden-onset severe abdominal pain with computed tomography revealing hemoperitoneum and saccular dilations ad...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 3; p. e56598
Main Authors Lopera-Valle, Johan Sebastian, Muñoz-Caicedo, Brayan, Muñoz Durán, Julián Andrés
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 20.03.2024
Subjects
Abdomen
Atherosclerosis
Embolization
Etiology
Medical imaging
Morphology
Mortality
Pain
Patients
Pseudoaneurysm
Tomography
Trauma
Ultrasonic imaging
Veins & arteries
aneurysm
gastroepiploic artery
hemoperitoneum
general and vascular surgery
pseudoaneurysm
interventional radiology guided embolization
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Summary:Gastroepiploic artery aneurysms and pseudoaneurysms pose diagnostic challenges due to their rarity and overlapping radiological features. This case report presents an 82-year-old woman with sudden-onset severe abdominal pain with computed tomography revealing hemoperitoneum and saccular dilations adjacent to the stomach's greater curvature, suggestive of vascular pathology. Selective abdominal arteriography confirmed three saccular dilatations in the gastroepiploic artery, which were managed successfully with coil embolization. The discussion emphasizes the importance of accurate diagnosis, distinguishing between aneurysms and pseudoaneurysms, and prompt intervention to mitigate the risk of hemorrhagic complications of either of them. The case underscores the significance of endovascular management in such rare and critical scenarios.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.56598