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Case Reports
. 2015 Aug 5;2015(8):rjv100.
doi: 10.1093/jscr/rjv100.

A case of a huge gastroepiploic arterial aneurysm

Hirokuni Ikeda  1 , Masahiko Takeo  2 , Ryuuichi Mikami  2 , Mistuo Yamamoto  2
Affiliations
Case Reports

A case of a huge gastroepiploic arterial aneurysm

Hirokuni Ikeda et al. J Surg Case Rep. .

Abstract

An 85-year-old man complaining of vague abdominal discomfort was admitted to our hospital. A pulsatile 8 × 7-cm mass in the right upper abdomen was noticed on clinical examination. Computed tomography of the abdomen showed a huge arterial aneurysm in the right gastroepiploic artery, and the left gastroepiploic artery was meandering and expanding. An image diagnosis of gastroepiploic arterial aneurysm (GEAA) was made. Because of the huge size of the aneurysm and the predicted high risk of perforation, surgical intervention was planned. The aneurysm was identified in the greater curve and was found to adhere firmly to the transverse colon. Partial resection of the stomach, aneurysmectomy and partial resection of the transverse colon were performed. Clinically, splanchnic arterial aneurysms are rare. Among them, GEAA is especially rare. We report a rare case of a huge GEAA that was treated successfully by surgery.

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Figures

Figure 1:
Figure 1:
(a) Abdominal ultrasonography showed that the mass was present on the border of the greater curvature of the stomach. (b) Blood flow was observed inside the mass.
Figure 2:
Figure 2:
Computed tomography of the abdomen showed a huge arterial aneurysm in the right gastroepiploic artery.
Figure 3:
Figure 3:
The aneurysm was easily identified in the greater curvature of the stomach and was found to adhere firmly to the transverse colon.
See this image and copyright information in PMC

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