A Case of Hemoperitoneum Due to a Ruptured Aneurysm of the Right Gastroepiploic Artery

Masafumi Menjo, Sumio Toyoda, Yasutaka Matsuzaki, Kikuo Kagimoto, Harumichi Kawarada, Hisayoshi Yoshitomi

Department of Surgery, Tokai Municipal Hospital

A 55-year-old woman attended our hospital complaining of sudden epigastric pain. Within 4 hours after arrival she became shocked. Ultrasonography and computed tomography revealed hemoperitoneum in the upper abdomen. Angiography demonstrated an aneurysm of the right gastroepiploic artery. The aneurysm was resected, and the patient recovered without complications. Histopathological study of the resected specimen revealed the existence of an inflammatory process in the vessel wall.

Key words
visceral artery aneurysm, hemoperitoneum, acute abdomen

Reprint requests
Masafumi Menjo First Department of Surgery, Nagoya University School of Medicine
65 Tsurumai-cho, Shouwa-ku, Nagoya, 466 JAPAN

Accepted
December 12, 1990

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