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June 6, 1977

Hemoperitoneum Due to Spontaneous Gastroepiploic Artery Rupture

JAMA. 1977;237(23):2526. doi:10.1001/jama.1977.03270500078035

IF EMERGENCY operation and hemostasis are not done, spontaneous rupture of abdominal visceral arteries often results in sudden lethal hemoperitoneum. The most frequently reported location for rupture is the splenic artery.1 Rupture of a gastroepiploic artery has been reported only three times before.2-4 We report a fourth case of hemoperitoneum owing to ruptured gastroepiploic artery.

Report of a Case  A 77-year-old man was admitted to the Sacramento Medical Center because of sudden, sharp, nonradiating left-upper quadrant abdominal pain, beginning 30 minutes after the onset of a dull epigastric ache. There was no nausea or vomiting nor past history of similar episodes. On admission, a normal sinus rhythm was present, with an arterial blood pressure of 154/100 mm Hg and pulse of 80 beats per minute.There were no cardiac murmurs. All upperand lower-extremity arterial pulses were palpable. The abdomen was diffusely tender to palpation and percussion. Bowel sounds