Case Report
 
Bleeding from aberrantly originating left gastric artery diagnosed by computed tomography scan
Mahibul Islam1, Sonia Sandip2, Md. Abu Masud Ansari3, Raj Kapur4
1MS Surgery; Resident Surgeon, Department of HPB Surgery, Institute of Liver and Biliary Sciences, Sector D-1, VasantKunj, New Delhi.
2MD Radiology, Senior Resident, Department of Radiology, Institute of Liver, and Biliary Sciences, Sector D-1, VasantKunj, New Delhi.
3MS Surgery; Resident Surgeon, Department of Surgery, PGIMER RML Hospital, New Delhi.
4MS Surgery; Resident Surgeon, Department of Surgery, PGIMER RML Hospital, New Delhi.

doi:10.5348/ijcri-2014-02-465-CR-17

Address correspondence to:
Mahibul Islam
MS Surgery, Resident Surgeon
Department of HPB Surgery, Institute of Liver and Biliary Sciences
Sector D-1, Vasant Kunj, New Delhi-110070
India
Email: mehbul2@gmail.com

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How to cite this article
Islam M, Sandip S, Ansari MAM, Kapur R. Bleeding from aberrantly originating left gastric artery diagnosed by computed tomography scan. International Journal of Case Reports and Images 2014;5(2):169–173.


Abstract
Introduction: Variations of branching pattern of the celiac trunk are well documented. Left gastric artery takes origin directly from the aorta in 0.5–15% of cases. Bleeding from such artery is rarely reported in literature. This type of rare variation has significant importance in surgical and radiological procedures. Herein, we describe a case of bleeding from a variant left gastric artery.
Case Report: A 56-year-old male was admitted to our hospital with weight loss for endoscopic fine-needle aspiration of splenic abscess. Following fine-needle aspiration the patient had gastric bleed which was diagnosed by contrast-enhanced computed tomography (CECT) scan and abdominal angiography. The CECT scan of abdomen also revealed the variant left gastric artery which was source of bleeding. Upper gastrointestinal endoscopic was done and hemostasis was achieved by applying endoclip.
Conclusion: Anatomical knowledge of variation is important for management of bleeding from such aberrant artery.

Keywords: Left gastric artery; Aberrant origin, Bleeding


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Author Contributions
Mahibul Islam – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Sonia Sandip – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Md. Abu Masud Ansari – Acquisition of data, Critical revision of the article, Final approval of the version to be published
Raj Kapur – Conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Mahibul Islam et al. 2014; This article is distributed the terms of Creative Commons attribution 3.0 License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



About The Authors

Mahibul Islam is registrar of Surgery at Gauhati Medical college of Srimanta Sankaradeva University of Health Sciences, Assam; India. His area of interest is HPB surgery including liver transplantation surgery.



Sonia Sandip is Senior Resident at Department of Radiology in All India Institute of Medical Sciences, New Delhi; India. Her area of interest is abdominal radiology.



Md. Abu Masud Ansari is consultant of Surgery at Rockland Hospital; New Delhi; India. His area of interest is Laparoscopic Gastrointestinal Surgery.



Raj Kapur is consultant of Surgery at Central Hospital; Coal India Limited, Ramgarh, Jharkhand; India. His area of interest is Laparoscopic Gastrointestinal Surgery.