Abstract
Introduction: Variations of branching pattern of the celiac trunk are well documented. Left gastric artery takes origin directly from the aorta in 0.5-15% of cases. bleeding from such artery is rarely reported in literature. this type of rare variation has significant importance in surgical and radiological procedures. Herein, we describe a case of bleeding from a variant left gastric artery. case report: A 56-year-old male was admitted to our hospital with weight loss for endoscopic fine-needle aspiration of splenic abscess. Following fine-needle aspiration the patient had gastric bleed which was diagnosed by contrast-enhanced computed tomography (cEct) scan and abdominal angiography. the cEct scan of abdomen also revealed the variant left gastric artery which was source of bleeding. Upper gastrointestinal endoscopic was done and hemostasis was achieved by applying endoclip. conclusion: Anatomical knowledge of variation is important for management of bleeding from such aberrant artery.
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