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. 2017 Mar 9;60(1):56-58.
eCollection 2017 Mar.

A Case of Unruptured Right Gastroepiploic Artery Aneurysm Successfully Resected by Laparoscopic Surgery

Yuki Murakami  1 , Hiroaki Saito  1 , Shota Shimizu  1 , Yusuke Kono  1 , Hirohiko Kuroda  1 , Tomoyuki Matsunaga  1 , Yoji Fukumoto  1 , Tomohiro Osaki  1 , Yoshiyuki Fujiwara  1
Affiliations

A Case of Unruptured Right Gastroepiploic Artery Aneurysm Successfully Resected by Laparoscopic Surgery

Yuki Murakami et al. Yonago Acta Med. .

Abstract

A 50-year-old woman was admitted to our hospital to undergo surgery to remove a pituitary adenoma. Preoperative dynamic computed tomography revealed an incidental right gastroepiploic arterial aneurysm (GEAA). After removal of the pituitary adenoma, we performed a laparoscopic right gastroepiploic aneurysmectomy. The postoperative course was uneventful. Right GEAAs should be treated at diagnosis owing to the high possibility of rupture. Laparoscopic right gastroepiploic aneurysmectomy is feasible and should be considered for the treatment of right GEAAs.

Keywords: Abdominal visceral artery aneurysm; Gastroepiploic artery aneurysm; Laparoscopic surgery.

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Figures

Fig. 1.
Fig. 1.
3D computed tomography angiography shows the 17-mm aneurysm in the right gastroepiploic artery.
Fig. 2.
Fig. 2.
Operative findings revealed a 2-cm round mass (arrow) at the right side of the greater omentum.
Fig. 3.
Fig. 3.
The right gastroepiploic artery was clipped and divided at the proximal site of the right gastroepiploic arterial aneurysm.
Fig. 4.
Fig. 4.
Surgical specimen shows an aneurysm of 2.2 × 1.9 × 1.8 cm.
See this image and copyright information in PMC

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