Ruptured Gastroepiploic Artery Aneurysm: A Rare Case Successfully Treated with an Endovascular Approach

Abstract

Introduction: Visceral artery aneurysms can cause life-threatening bleedings.  Aneurysms of the left gastroepiploic artery are very rare, and their clinical presentation is not specific.

Case Presentation: We present a 72-year-old man with progressively worsening abdominal pain and a drop in haemoglobin level from 15.3 g/dL to 10.7 g/dL. A contrast-enhanced computed tomography scan revealed an omental haematoma. Subsequent arteriography confirmed a ruptured left gastric epiploic artery and successful embolization was performed.

Discussion: Although rare, the rupture of a visceral aneurysm can lead to emergency admission. Depending on the aneurysm´s location and size, the clinical presentation can range from abdominal pain to shock. The decision between surgical or endovascular treatment should be individualized.

Conclusion: A ruptured left gastroepiploic aneurysm is a rare condition that may manifest only with abdominal pain. Endovascular access can be a safe approach in haemodynamically stable patients.