Left Gastric Artery Aneurysm Rupture: Case Report

Abstract

Introduction: Gastric artery aneurysms are very rare, and no studies have reported a case of gastric artery aneurysm with hiatal herina.

Case Report: Here we present the case of an 82-year-old female patient with a ruptured aneurysm of the left gastric artery in the hiatal hernia. She had severe chest pain, which expanded to the left abdominal upper quadrant region, and shortness of breath. In the emergency room, computed tomography (CT) revealed left gastric artery aneurysym in the hiatal hernia. Based on these findings, the patient underwent surgery and was cured.

Conclusion: In elderly patients with intraabdominal hemorrhage without trauma, rupture of the gastric artery aneurysm should be considered in the differential diagnosis even if it is rare. In addition to intraabdominal hemorrhage, hemothorax may be present in patients with hiatus hernia and gastric artery aneurysm rupture.