Spontaneous rupture of a left gastroepiploic artery aneurysm.
Gastroepiploic aneurysms are extremely rare. They occur mainly in elderly men and in 90% of cases are ruptured at presentation. Visceral aneurysms though rare should be borne in mind in cases of unexplained haemorrhagic shock. We present a case of a 79-year-old man who presented with abdominal pain, hypotension and anaemia but no obvious source of bleeding. He had undergone a prior aorto-bifemoral graft. The patient refused an operation and died the following day.
Rohatgi
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Worthing Hospital, Lyndhurst Road, Worthing BN11 2DH, UK. ashroht@hotmail.com
Cherian
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D000368:Aged; D017542:Aneurysm, Ruptured / Q000175:diagnosis*; D024405:Gastroepiploic Artery; D006801:Humans; D008297:Male; D012771:Shock, Hemorrhagic / Q000209:etiology