Arterial malformation of stomach: a cause of massive bleeding.
Fatal gastrointestinal bleeding is rarely caused by a ruptured abnormal intramural gastric artery, and in such cases the nature of the abnormality in the ruptured artery has not been clearly defined. In this report, a case of fatal haemorrhage from a ruptured artery in the stomach of a 34-yr-old male is presented. The arterial lesion was demonstrated and appeared similar to the berry aneurysms of the Circle of Willis--which are probably the result of developmental defects in the media of the arterial wall. Phlebosclerosis due to portal hypertension was a coincidental finding. Previously reported cases are considered and compared with the present case.
D000328:Adult; D000783:Aneurysm / Q000473:pathology; D001158:Arteries / Q000002:abnormalities* / Q000473:pathology; D004932:Esophageal and Gastric Varices / Q000150:complications; D004947:Esophagus / Q000601:surgery; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D013270:Stomach / Q000098:blood supply*; D014652:Vascular Diseases / Q000150:complications