Korean J Gastrointest Endosc.  2009 Jul;39(1):34-37.

A Case of Ruptured Left Gastric Artery Pseudoaneurysm Complicating Percutaneous Endoscopic Gastrostomy (PEG)

Affiliations
  • 1Department of Internal Medicine, Kyunghee University College of Medicine, Seoul, Korea. dramc@hanmail.net
  • 2Department of Radiology, Kyunghee University College of Medicine, Seoul, Korea.

Abstract

Percutaneous endoscopic gastrostomy (PEG) is an effective method for delivering enteral nutrition to patients with dysphagia, cerebrovascular accidents, Parkinsonnism, dementia, and head and neck cancer. PEG is generally regarded as safe and it is associated with low risks of morbidity and mortality. The complications of the PEG are known to be mostly minor and they include wound infection, gastric leakage, bleeding, ileus, pneumoperitoneum and aspiration pneumonia. We recently experienced a ruptured pseudoaneurysm of the left gastric artery, which was occurred as a complication during PEG insertion in a 73-year-old female. To the best of our knowledge, this is the first case report in Korea about successful angiographic embolization for a ruptured pseudoaneurysm of the left gastric artery and this was associated with a PEG procedure.

Keyword

Percutaneous endoscopic gastrostomy; Left gastric artery; Pseudoaneurysm; Angiographic embolization

MeSH Terms

Aged
Aneurysm, False
Arteries
Deglutition Disorders
Dementia
Enteral Nutrition
Female
Gastrostomy
Head and Neck Neoplasms
Hemorrhage
Humans
Ileus
Korea
Pneumonia, Aspiration
Pneumoperitoneum
Stroke
Wound Infection
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