2024-03-29T15:00:51Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02015979
2022-10-31T07:48:02Z
1642838163960:1642838198944:1642838199408:1642838205767
1642838403551:1642838412624
[症例報告]Aneurysm of the gastroduodenal artery with massive hemorrhage : A case report and a brief literature review
Uehara, Hiroshi
Muto, Yoshihiro
Kusano, Toshiomi
Yamada, Mamoru
Shiraishi, Masayuki
Oyakawa, Tominori
open access
琉球医学会
ruptured aneurysm
gastrointestinal bleeding
gastroduodenal artery
A case of gastroduodenal artery aneurysm with gastrointestinal bleeding in a 38-year-old male is reported. The patient developed sudden back pain and then massive hematemesis. He became stable after blood transfusion. Endoscopic examination showed a dome-shaped mass with deep central ulceration. Bleeding from the ulcer ceased briefly for two days, and he started again with massive hematemesis, requiring emergency laparotomy. The opened ulcer in the posterior wall of the duodenum 2cm distal to the pylorus was sutured with absorbable stitches for hemostasis. Postoperative CT and angiography demonstrated an oval aneurysm (3×4 cm) of the gastroduodenal artery 2 cm distal to the bifurcation from the hepatic artery. The patient was referred to the University Hospital for surgery. The aneurysm was clearly exposed and the affected artery above and below the aneurysm was ligated. He was discharged from hospital in good condition and is doing well, currently in his second year after surgery.
論文
琉球医学会
Ryukyu Medical Association
1995
eng
journal article
VoR
http://hdl.handle.net/20.500.12000/0002015979
https://u-ryukyu.repo.nii.ac.jp/records/2015979
1346888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
15
1
27
29
https://u-ryukyu.repo.nii.ac.jp/record/2015979/files/v15_1p27.pdf