Abstract
We report a case of a patient with abdominal pain due to a ruptured right gastroepiploic arterial aneurysm. A 69-year-old man who had a previous diagnosis of hypertension presented with gradually increasing pain in his upper abdomen. His vital signs were stable and physical examination revealed slight abdominal distension and mild tenderness in the upper to mid abdomen. Blood tests revealed a haemoglobin level of 6.2g/dL. Enhanced Multi-Detector CT (MDCT) demonstrated an aneurysm 2cm in diameter with massive intraperitoneal hemorrhage. Maximum Intensity Projection (MIP) revealed a saccular aneurysm with a narrow neck arising from the right gastroepiploic artery. Transcatheter arterial embolization (TAE) was selected as the treatment of choice for the ruptured aneurysm because the patient refused to undergo an operation. We successfuly performed TAE using an interlocking detachable coil (IDC) into the aneurysm while preserving blood flow of the parent artery. Although rupture of gastroepiploic arterial aneurysm is rare condition. TAE using IDC is a treatment of choice for this unusual problem.
