A Giant Intramural Gastric Hematoma Successfully Treated by Transcatheter Arterial Embolization

Hiroshi IMAIZUMI; Toshiharu MITSUHASHI; Mitsuhiro HIRATA; Toshiya AIZAKI; Hiroshi NISHIMAKI; Kazui SOMA; Takashi OHWADA; Katsunori SAIGENJI

doi:10.2169/internalmedicine.39.231

Hiroshi IMAIZUMI, Toshiharu MITSUHASHI, Mitsuhiro HIRATA, Toshiya AIZAKI, Hiroshi NISHIMAKI, Kazui SOMA, Takashi OHWADA, Katsunori SAIGENJI

Author information

Hiroshi IMAIZUMI
the Department of Internal Medicine, Kitasato University, School of Medicine
Toshiharu MITSUHASHI
the Department of Internal Medicine, Kitasato University, School of Medicine
Mitsuhiro HIRATA
the Department of Emergency and Critical Care Medicine, Kitasato University, School of Medicine
Toshiya AIZAKI
the Department of Internal Medicine, Kitasato University, School of Medicine
Hiroshi NISHIMAKI
the Department of Emergency and Critical Care Medicine, Kitasato University, School of Medicine
Kazui SOMA
the Department of Emergency and Critical Care Medicine, Kitasato University, School of Medicine
Takashi OHWADA
the Department of Emergency and Critical Care Medicine, Kitasato University, School of Medicine
Katsunori SAIGENJI
the Department of Internal Medicine, Kitasato University, School of Medicine

Keywords: intramural hematoma, anticoagulant therapy, Mallory-Weiss syndrome

JOURNAL FREE ACCESS

2000 Volume 39 Issue 3 Pages 231-234

DOI https://doi.org/10.2169/internalmedicine.39.231

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Abstract

We describe a case of intramural gastric hematoma with hemorrhagic shock caused by the formation of a large hematoma. Computed tomographic and angiographic examinations confirmed the presence of active bleeding into the hematoma. Transcatheter arterial embolization (TAE) was performed for hemostasis. To our knowledge, although 21 cases of intramural gastric hematoma have been reported in the literature, this is apparently the first case treated by TAE. We conclude that TAE is a safe and effective treatment option for intramural gastric hematoma confirmed to be associated with active bleeding into the hematoma.
(Internal Medicine 39: 231-234, 2000)

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