SUCCESSFUL ENDOVASCULAR  MANAGEMENT OF A RUPTURED RIGHT GASTRIC ARTERY ANEURYSM IN AN ELDERLY PATIENT.

Ng Chiak Yot¹, Chandran Nadarajan^2,3, Mohd Shafie Abdullah^2,3.

¹Department of Medicine Base, Faculty of Medicine and Health Sciences, University Malaysia Sabah, Jalan UMS, 88400 Kota Kinabalu, Sabah, Malaysia.

²Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

³Hospital Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

ABSTRACT

Ruptured gastric artery aneurysm is a rare cause for upper gastrointestinal hemorrhage and should be considered if intraluminal causes are ruled out. We present a case of an 84 years old patient who presented with loss of consciousness following severe hematemesis.  Oesophago-gastro-duodenoscopy reveals Forrest type 1A actively bleeding peptic ulcer at D1 of the duodenum. An urgent mesenteric computer tomography scan and conventional angiography revealed an actively bleeding right gastric artery aneurysm, which was successfully treated with embolization.

KEYWORDS: Aneurysm, Bio-glue, Duodenal ulcer, Gastro-duodenal endoscopy, Right Gastric artery, Ruptured aneurysm, Therapeutic embolization.

Corresponding author: Dr Chandran Nadarajan, Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Mobile number +60126519687

Brunei Int Med J.2022;18:139-143