A Case of Ruptured Right Gastroepiploic Artery Aneurysm

Yoshihiro Yasuda, Makoto Takagi, Takashi Ogata, Seisyoku Ri, Yoshiaki Suzuki, Fumiaki Kato, Tetsuo Sumi, Toshiaki Aoki, Akihiko Tsuchida* and Tatsuya Aoki*

Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Third Department of Surgery, Tokyo medical University*

We report an omental hematoma caused by a dissecting rupture of the right gastroepiploic artery. An 85-year-old man visited our hospital complaning of vomiting and abdominal pain. Abdominal CT revealed massive ascites without free air. Because the patient demonstrated muscular defense, an emergency laparotomy was performed. During the laparotomy, a hematoma was found in the right gastroepiploic arterial field of the omentum, a partial resection of the omentum was performed. Histological examination revealed the rupture of a dissecting aneurysm in the right gastroepiploic artery.

Key words
dissecting aneurysm, rupture, gastroepiploic artery

Reprint requests
Yoshihiro Yasuda Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
1163 Tatemachi, Hachiouji, 193-0998 JAPAN

Accepted
January 25, 2006

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