J Korean Surg Soc.  2010 Jun;78(6):423-425. 10.4174/jkss.2010.78.6.423.

A Right Gastroepiploic Artery Aneurysm Treated by Surgical Excision

• Kim H
• Cho YP
• Moon KM
• Park SJ
• Kwon TW

• KMID: 2211975
• DOI: http://doi.org/10.4174/jkss.2010.78.6.423

Abstract

A 65-year-old male patient was referred to our hospital for postprandial abdominal pain. Computed tomography and angiography revealed 2 aneurysms of the right gastroepiploic artery, which were measured 0.8x1.3 cm and 1.9x3.4 cm. Excision of 2 saccular and fusiform aneurysms by laparotomy was performed. His hospital course was uneventful and symptoms disappeared after surgery. A gastroepiploic artery aneurysm can cause recurrent abdominal pain and surgical resection is warranted in symptomatic aneurysms.

Keyword

Aneurysm; Gastroepiploic artery; Resection

MeSH Terms

Abdominal Pain
Aged
Aneurysm
Angiography
Gastroepiploic Artery
Humans
Laparotomy
Male

Figure

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  Fig. 1 Contrast enhanced CT images. Abdominal enhanced CT finding shows 2 saccular and fusiform aneurysms containing mural thrombus in the right gastroepiploic artery, which were 0.8×1.3 cm and 1.9×3.4 cm in size (white arrow, and double white arrows).

• 

  Fig. 2 Selective angiogram of superior mesenteric artery (SMA). (A) On angiogram obtained by cannulating SMA, the right gastroepiploic artery is arising from SMA and has a large fusiform aneurysm. (B) Two aneurysms in line are demonstrated in delayed image.

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