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- Title
Segmental arterial mediolysis of left gastric artery: a case report and review of pathology.
- Authors
Tabassum, Azra; Sasani, Sanaz; Majid, Adeeb J; Henderson, Christopher; Merrett, Neil D
- Abstract
Background Segmental arterial mediolysis (SAM) is a rare non inflammatory vascular disease that can present with massive haemorrhage, which may lead to death without prompt surgical intervention. Case presentation A 60 years old Aboriginal female presented with life threatening, spontaneous intraabdominal bleeding requiring an emergency laparotomy. The source of bleeding was found to be ruptured left gastric artery. A total gastrectomy was performed as a damage control procedure. A staged Roux-en-Y oesophago-jejunostomy with Hunt Lawrence pouch reconstruction was undertaken thirty six hours later. Histopathological findings revealed evidence of non-inflammatory segmental vascular damage with microaneurysm, consistent with segmental arterial mediolysis. Conclusion Prompt resuscitation and surgical intervention can decrease the morbidity and mortality in this rare clinical entity.
- Subjects
GASTRECTOMY; ABDOMINAL surgery; HISTOPATHOLOGY; GASTROENTEROLOGY
- Publication
BMC Clinical Pathology, 2013, Vol 13, Issue 1, p1
- ISSN
1472-6890
- Publication type
Case Study
- DOI
10.1186/1472-6890-13-26