Atheromatous embolization to the stomach: an unusual cause of gastrointestinal bleeding

This is a case report of an 80-year-old female with persistent blood loss from what was initially considered to be "hemorrhagic gastritis." Distal gastrectomy showed extensive atheromatous embolism and resultant ischemic lesions of the stomach--the apparent cause of the chronic bleeding. T...

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Bibliographic Details
Published inAmerican journal of digestive diseases Vol. 21; no. 10; p. 889
Main Authors Bourdages, R, Prentice, R S, Beck, I T, Dacosta, L R, Paloschi, G B
Format Journal Article
LanguageEnglish
Published United States 01.10.1976
Subjects
Aged
Arteriosclerosis - complications
Arteriosclerosis - pathology
Arteriosclerosis - surgery
Embolism - complications
Embolism - pathology
Embolism - surgery
Female
Gastrectomy
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - surgery
Humans
Stomach - blood supply
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Summary:This is a case report of an 80-year-old female with persistent blood loss from what was initially considered to be "hemorrhagic gastritis." Distal gastrectomy showed extensive atheromatous embolism and resultant ischemic lesions of the stomach--the apparent cause of the chronic bleeding. The patient has remained well without further blood loss during a 15-month follow-up period. While a small number of cases of gastric hemorrhage associated with atheromatous embolism have been reported, they all have been diagnosed at autopsy. This case is unusual in that the lesion was successfully delt with by surgical resection of the involved area.
ISSN:0002-9211
2168-779X
DOI:10.1007/BF01072083