Multiple gastric artery aneurysms managed by transcatheter arterial embolization

Abstract

Abstract Rationale: Visceral artery aneurysms are very rare and carry a high risk of mortality. Gastric artery aneurysms (GAAs) account for less than 4% of visceral artery aneurysms. When the aneurysm ruptures, patients can present with epigastric pain, hematemesis, hematochezia, vomiting, hypotension, shock and other clinical manifestations. Patient concerns: We report a case of a 69-year-old man who presented with sudden abdominal pain, hypotension and melena. Diagnoses: Digestive tract hemorrhage secondary to one rupturing aneurysmamong three Gastric artery aneurysms. Interventions: Transcatheter arterial embolization with Gelatin Sponge Particle Embolic Agent, Glubran and an Embolization Microcoil was conducted to occlude the blood flow to the three GAAs. Outcomes: The patient returned safely to the ward without apparent complications and was discharged after eight days of hospitalization. At the 4-month follow-up, his condition remained stable, and there were no complications or symptoms observed. Lessons: Multiple GAAs are extremely rare and should be treated immediately. Transcatheter arterial embolization is the treatment for this rare lesion. Timely recognition and immediate treatment for ruptured GAAs usually results in a good prognosis.