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A case of ruptured right gastroepiploic aneurysm treated by transcatheter arterial embolization avoiding emergency surgery

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Abstract

Gastroepiploic aneurysms are rare. We report the case of a 74-year-old man who presented with temporary loss of consciousness and abdominal pain. Computed tomography revealed a ruptured right gastroepiploic artery aneurysm. His vital signs improved after extracellular fluid infusion; hence, we performed transcatheter arterial embolization. There were no postoperative complications, and the patient was discharged on the 15th day of hospitalization. Ruptured abdominal aneurysms are often fatal and should be considered in patients with symptoms of anemia and abdominal pain. Currently, minimally invasive transcatheter arterial embolization had been designated as the preferred treatment option because of effectiveness in both diagnosis and treatment. Thus, we report a case of ruptured right gastroepiploic artery aneurysm treated by transcatheter arterial embolization, thereby preventing an emergency surgery.

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Acknowledgements

All authors were involved in editing and approval of the final manuscript.

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Authors and Affiliations

  1. Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan

    Ken Watanabe, Takeshi Aoki, Kimiyasu Yamazaki, Hiromi Date, Yoshihiko Tashiro, Satoru Goto, Koji Otsuka & Masahiko Murakami

  2. Department of Radiology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan

    Ryosuke Abe & Yoshimitsu Ohgiya

Authors
  1. Ken Watanabe
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  2. Takeshi Aoki
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  3. Kimiyasu Yamazaki
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  4. Hiromi Date
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  5. Ryosuke Abe
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  6. Yoshihiko Tashiro
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  7. Satoru Goto
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  8. Koji Otsuka
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  9. Yoshimitsu Ohgiya
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  10. Masahiko Murakami
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Correspondence to Takeshi Aoki.

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Ken Watanabe, Takeshi Aoki, Kimiyasu Yamazaki, Hiromi Date, Ryosuke Abe, Yoshihiko Tashiro, Satoru Goto, Koji Otsuka, Yoshimitsu Ohgiya, Masahiko Murakami declare that they have no conflict of interest.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Watanabe, K., Aoki, T., Yamazaki, K. et al. A case of ruptured right gastroepiploic aneurysm treated by transcatheter arterial embolization avoiding emergency surgery. Clin J Gastroenterol 14, 633–637 (2021). https://doi.org/10.1007/s12328-021-01363-0

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  • DOI: https://doi.org/10.1007/s12328-021-01363-0

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