Abstract
We encountered a rare case of spontaneous rupture of the omental artery. A 25-year-old man without any episode of abdominal trauma or bleeding disorders came to the emergency unit with left upper abdominal pain. Hematoma with extravasation of the greater omentum and a hemoperitoneum was confirmed on abdominal contrast-enhanced computed tomography. Bleeding from the omental artery was suspected based on these findings. Transcatheter arterial embolization was successfully performed after extravasation of the omental artery, which arises from the left gastroepiploic artery, was confirmed on arteriography. Partial ometectomy was performed 10 days after transcatheter arterial embolization, revealing that the hematoma measured 10 cm in diameter in the greater omentum. Pathological examination showed rupture of the branch of an omental artery without abnormal findings, such as an aneurysm or neoplasm. Thus, we diagnosed him with spontaneous rupture of the omental artery. The patient recovered and was discharged from the hospital 10 days after the surgery, with a favorable postoperative course.
References
Subber WJ Jr, Cunningham PL, Bloch RS (1998) Massive spontaneous hemoperitoneum of unknown etiology: a case report. Am Surg 64(12):1177–1178
Carr SR, Dinsmore RC, Wilkinson NW (2001) Idiopathic spontaneous intraperitoneal hemorrhage: a clinical update on abdominal apoplexy in the year 2001. Am Surg 67(4):374–376
Burkitt R (1956) Abdominal apoplexy due to spontaneous rupture of right gastric artery. Br Med J 1(4960):214
Martroll R (1963) Spontaneous rupture of the superior mesenteric artery. Ann Surg 157:292–297
Lubner M, Menias C, Rucker C et al (2007) Blood in the belly: CT findings of hemoperitoneum. Radiographics 27(1):109–125
Lucey BC, Varghese JC, Anderson SW et al (2007) Spontaneous hemoperitoneum: a bloody mess. Emerg Radiol 14(2):65–75
Ishii A, Namimoto T, Morishita S et al (1996) Embolization for superior mesenteric artery aneurysm. Br J Radiol 69(820):296–300
Guijt M, van Delden OM, Koedam NA et al (2004) Rupture of true aneurysms of the pancreaticoduodenal arcade: treatment with transcatheter arterial embolization. Cardiovasc Intervent Radiol 27(2):166–168
Salam TA, Lumsden AB, Martin LG et al (1992) Nonoperative management of visceral aneurysms and pseudoaneurysms. Am J Surg 164(3):215–219
Yamakado K, Nakatsuka A, Tanaka N et al (2000) Transcatheter arterial embolization of ruptured pseudoaneurysms with coils and n-butyl cyanoacrylate. J Vasc Interv Radiol 11(1):66–72
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Matsumoto, T., Yamagami, T., Morishita, H. et al. Transcatheter Arterial Embolization for Spontaneous Rupture of the Omental Artery. Cardiovasc Intervent Radiol 34 (Suppl 2), 142–145 (2011). https://doi.org/10.1007/s00270-010-9956-1
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DOI: https://doi.org/10.1007/s00270-010-9956-1