右胃大網動脈瘤破裂の1例

安田 祥浩; 高木 真人; 尾形 高士; 李 正植; 鈴木 芳明; 加藤 文昭; 寿美 哲生; 青木 利明; 土田 明彦; 青木 達哉

doi:10.5833/jjgs.39.649

A Case of Ruptured Right Gastroepiploic Artery Aneurysm

Yoshihiro Yasuda, Makoto Takagi, Takashi Ogata, Seisyoku Ri, Yoshiaki Suzuki, Fumiaki Kato, Tetsuo Sumi, Toshiaki Aoki, Akihiko Tsuchida, Tatsuya Aoki

Author information

Yoshihiro Yasuda
Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Makoto Takagi
Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Takashi Ogata
Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Seisyoku Ri
Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Yoshiaki Suzuki
Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Fumiaki Kato
Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Tetsuo Sumi
Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Toshiaki Aoki
Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Akihiko Tsuchida
Third Department of Surgery, Tokyo medical University
Tatsuya Aoki
Third Department of Surgery, Tokyo medical University

Keywords: dissecting aneurysm, rupture, gastroepiploic artery

JOURNAL FREE ACCESS

2006 Volume 39 Issue 6 Pages 649-652

DOI https://doi.org/10.5833/jjgs.39.649

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Abstract

We report an omental hematoma caused by a dissecting rupture of the right gastroepiploic artery. An 85-year-old man visited our hospital complaning of vomiting and abdominal pain. Abdominal CT revealed massive ascites without free air. Because the patient demonstrated muscular defense, an emergency laparotomy was performed. During the laparotomy, a hematoma was found in the right gastroepiploic arterial field of the omentum, a partial resection of the omentum was performed. Histological examination revealed the rupture of a dissecting aneurysm in the right gastroepiploic artery.

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