Stomach arteriovenous malformation resected by laparoscopy-assisted surgery: A case report.
Arteriovenous malformations of the stomach are an uncommon cause of upper GI bleeding. We report a case of stomach arteriovenous malformation in an 85-year-old Asian man who presented with massive hematemesis. Initial esophagogastroduodenoscopy did not detect this lesion, but contrast multi-detector CT confirmed GI bleeding. Multi-detector CT revealed a mass of blood vessels underlying the submucosa that arose from the right gastroepiploic artery. Repeat esophagogastroduodenoscopy showed that the lesion was a submucosal tumor with erosion and without active bleeding in the lower body of the stomach on the greater curvature. We performed partial gastrectomy via laparoscopy-assisted surgery. The histopathological diagnosis was arteriovenous malformation.
Department of Surgery, Kitamurayama Hospital, Higashine, Japan.
Masahiro
M
Hotta
Department of Surgery, Kitamurayama Hospital, Higashine, Japan.
Kazuhito
K
Yamamoto
Department of Surgery, Kitamurayama Hospital, Higashine, Japan.
Kazumitsu
K
Cho
Department of Surgery, Kitamurayama Hospital, Higashine, Japan.
Yoshimune
Y
Takao
Department of Surgery, Kitamurayama Hospital, Higashine, Japan.
Takeshi
T
Fukuoka
Department of Surgery, Nippon Medical School, Bunkyoku, Japan.
Eiji
E
Uchida
D000369:Aged, 80 and over; D001165:Arteriovenous Malformations / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013270:Stomach / Q000098:blood supply*
Arteriovenous malformations; laparoscopy; stomach