Laparoscopic surgery for the treatment of a ruptured aneurysm of the right gastric artery: a case report.
Laparoscopic surgery for the treatment of a ruptured visceral artery aneurysm is recognized as a challenging procedure. Here, we describe our experience with laparoscopic surgery to treat a ruptured aneurysm of the right gastric artery. A 72-year-old woman was diagnosed with intra-abdominal hemorrhage caused by a ruptured aneurysm of the right gastric artery. Transcatheter arterial embolization failed because the right gastric artery could not be cannulated. Therefore, we performed laparoscopic surgery. Using laparoscopy, we detected that the bleeding from the aneurysm had ceased; thus, the planned procedure was successful. The operative time and intraoperative blood loss were 100 min and 5 mL, respectively. The patient was discharged 7 days after surgery. Laparoscopic surgery after the failure of transcatheter arterial embolization is a suitable and safe procedure for ruptured visceral artery aneurysms, provided the circulatory dynamics are stable as a result of the temporary cessation of bleeding from the ruptured aneurysm.
Department of Surgery, Chutoen General Medical Center, Kakegawa, Japan.
Yoshitaka
Y
Toyoda
Department of Surgery, Chutoen General Medical Center, Kakegawa, Japan.
Takanori
T
Kyokane
Department of Surgery, Chutoen General Medical Center, Kakegawa, Japan.
Toru
T
Kawai
Department of Surgery, Chutoen General Medical Center, Kakegawa, Japan.
Katsutaka
K
Watanabe
Department of Surgery, Chutoen General Medical Center, Kakegawa, Japan.
Fumihiko
F
Koide
Department of Surgery, Chutoen General Medical Center, Kakegawa, Japan.
Yosuke
Y
Ochiai
Department of Surgery, Chutoen General Medical Center, Kakegawa, Japan.
Yuichi
Y
Asai
Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Tsuyoshi
T
Igami
Department of Surgery, Chutoen General Medical Center, Kakegawa, Japan.
Shingo
S
Kuze
D000368:Aged; D017542:Aneurysm, Ruptured / Q000601:surgery*; D002445:Celiac Artery / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy
Laparoscopic surgery; right gastric artery; ruptured visceral artery aneurysm