title: Spontaneous Bleeding from a Short Gastric Artery after Vomiting Successfully Treated without Surgery.
abstract: Spontaneous bleeding from a short gastric artery in the absence of pre-disposing trauma is reported very rarely. To the best of our knowledge, the published literature includes only 14 cases. Young men comprise almost all of the patients, and were induced by vomiting or gagging. The patients usually required emergent surgery. Our patient, a 32-year-old man, was diagnosed with spontaneous hemoperitoneum due to short gastric artery tearing after a few instances of vomiting. We managed him conservatively including fluid, vitamin K and antifibrinolytic agent without surgery.
authors.affiliation: Department of Surgery, Inje University Seoul Paik Hospital, Seoul, Korea.
authors.forename: Seong Woo
authors.initials: SW
authors.lastname: Hong
authors.affiliation: Department of Surgery, Inje University Seoul Paik Hospital, Seoul, Korea.
authors.forename: Yeo Goo
authors.initials: YG
authors.lastname: Chang
authors.affiliation: Department of Surgery, Inje University Seoul Paik Hospital, Seoul, Korea.
authors.forename: Byungmo
authors.initials: B
authors.lastname: Lee
authors.affiliation: Department of Surgery, Inje University Seoul Paik Hospital, Seoul, Korea.
authors.forename: Woo Yong
authors.initials: WY
authors.lastname: Lee
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D000328:Adult; D001158:Arteries / Q000502:physiology; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous / Q000175:diagnosis*; D013270:Stomach / Q000098:blood supply; D014057:Tomography, X-Ray Computed; D014839:Vomiting
chemical_list: D006454:Hemoglobins
keywords: Hemoperitoneum; Splenic artery; Vomiting