Lopera-Valle Johan Sebastian, Muñoz-Caicedo Brayan, Muñoz Durán Julián Andrés
Interventional Radiology, San Vicente Fundación, Medellín, COL.
Radiology, Universidad de Antioquia, Medellín, COL.
Cureus. 2024 Mar 20;16(3):e56598. doi: 10.7759/cureus.56598. eCollection 2024 Mar.
Gastroepiploic artery aneurysms and pseudoaneurysms pose diagnostic challenges due to their rarity and overlapping radiological features. This case report presents an 82-year-old woman with sudden-onset severe abdominal pain with computed tomography revealing hemoperitoneum and saccular dilations adjacent to the stomach's greater curvature, suggestive of vascular pathology. Selective abdominal arteriography confirmed three saccular dilatations in the gastroepiploic artery, which were managed successfully with coil embolization. The discussion emphasizes the importance of accurate diagnosis, distinguishing between aneurysms and pseudoaneurysms, and prompt intervention to mitigate the risk of hemorrhagic complications of either of them. The case underscores the significance of endovascular management in such rare and critical scenarios.
胃网膜动脉瘤和假性动脉瘤因其罕见性和重叠的放射学特征而带来诊断挑战。本病例报告介绍了一名82岁女性，突发严重腹痛，计算机断层扫描显示腹腔积血以及胃大弯附近的囊状扩张，提示血管病变。选择性腹部动脉造影证实胃网膜动脉有三处囊状扩张，通过弹簧圈栓塞成功治疗。讨论强调了准确诊断、区分动脉瘤和假性动脉瘤以及及时干预以降低两者出血并发症风险的重要性。该病例凸显了在这种罕见且危急情况下血管内治疗的重要性。
