title: A case of a huge gastroepiploic arterial aneurysm.
abstract: An 85-year-old man complaining of vague abdominal discomfort was admitted to our hospital. A pulsatile 8 × 7-cm mass in the right upper abdomen was noticed on clinical examination. Computed tomography of the abdomen showed a huge arterial aneurysm in the right gastroepiploic artery, and the left gastroepiploic artery was meandering and expanding. An image diagnosis of gastroepiploic arterial aneurysm (GEAA) was made. Because of the huge size of the aneurysm and the predicted high risk of perforation, surgical intervention was planned. The aneurysm was identified in the greater curve and was found to adhere firmly to the transverse colon. Partial resection of the stomach, aneurysmectomy and partial resection of the transverse colon were performed. Clinically, splanchnic arterial aneurysms are rare. Among them, GEAA is especially rare. We report a rare case of a huge GEAA that was treated successfully by surgery.
authors.affiliation: Department of Surgery, Kobe City Hospital Organization, Kobe City Center, West Hospital, Hyogo, Japan yashima_hirokuni@msn.com.
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Ikeda
authors.affiliation: Department of Surgery, Kobe City Hospital Organization, Kobe City Center, West Hospital, Hyogo, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Takeo
authors.affiliation: Department of Surgery, Kobe City Hospital Organization, Kobe City Center, West Hospital, Hyogo, Japan.
authors.forename: Ryuuichi
authors.initials: R
authors.lastname: Mikami
authors.affiliation: Department of Surgery, Kobe City Hospital Organization, Kobe City Center, West Hospital, Hyogo, Japan.
authors.forename: Mistuo
authors.initials: M
authors.lastname: Yamamoto