Ruptured submucosal gastric artery microaneurysm.
A patient with massive upper gastrointestinal hemorrhage from a ruptured submucosal gastric artery microaneurysm is described. Intraoperative diagnosis was made and wedge resection of the lesion resulted in survival of the patient. Forty-two cases in this entity have been reported in the literature, with nonoperative therapy being uniformly fatal; there were only four cases of successful surgical management. An increased awareness of this entity in cases of unexplained gastrointestinal hemorrhage is the key to diagnosis and successful management.
D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000473:pathology / Q000601:surgery*; D001158:Arteries / Q000473:pathology / Q000601:surgery; D001161:Arteriosclerosis / Q000473:pathology; D005260:Female; D005743:Gastrectomy; D005753:Gastric Mucosa / Q000098:blood supply* / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D012422:Rupture, Spontaneous / Q000473:pathology / Q000601:surgery