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KMID : 0931320210210030235
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대한상부위장관.헬리코박터학회지
2021 Volume.21 No. 3 p.235 ~ p.238
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Spontaneous Rupture of the Right Gastroepiploic Artery Immediately after Gastroscopy
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Jung Do-Young
Jung Hye-Kyung
Ko Yun-Mi
Lee A-Young
Hong Ji-Taek
Moon Chang-Mo
Kim Seong-Eun
Tae Chung-Hyun
Shim Ki-Nam
Jung Sung-Ae
Kim Ran
Choi Sun-Young
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Abstract
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Idiopathic spontaneous intraperitoneal hemorrhage is both rare and potentially fatal. The incidence of gastroepiploic artery rupture, especially a non-aneurysmal rupture, is extremely low. We report the case of an elderly woman who was mistakenly diagnosed with procedure-related bleeding after gastroscopy. A 0.3 cm polyp was identified and removed during the procedure. The patient later developed shock due to which gastroscopy was repeated; however, no unusual findings were observed. Therefore, abdominopelvic computerized tomography was performed and gastroepiploic artery rupture was detected. Transcatheter arterial embolization was immediately performed without laparotomy, without any complications. The bleeding was controlled, and the patient was discharged after embolization. It is important to acknowledge the possibility of spontaneous rupture of the visceral arteries in elderly individuals with hypertension or atherosclerosis, especially in the event of sudden abdominal pain or shock immediately after an endoscopic procedure. This is the first case report of idiopathic spontaneous rupture of the right gastroepiploic artery successfully managed by transcatheter arterial embolization in South Korea.
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KEYWORD
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Gastroepiploic artery, Gastroscopy, Rupture, Spontaneous
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