Ruptured aneurysm of the visceral artery: Report of two cases

We present herein two cases of a ruptured aneurysm of the visceral artery. The first case involved a 74-yeal-old man with abdominal pain who was admit ted to our hospital with a tentative diagnosis of intra-abdominal bleeding of unknown origin. Computed tomography revealed a hematoma in the greater c urvature of the stomach. At surgery, a hematoma along the right gastroepipl oic artery was found and totally removed. Histological examination showed a pseudo-aneurysm of unknown etiology. The second case involved a 68-year-ol d man with progressive anemia who presented with spontaneous intra-abdomina l bleeding. A ruptured aneurysm of the accessory middle colic artery was di agnosed by superior mesenteric angiography. The ruptured aneurysm was ligat ed and totally resected without a colectomy. Histological examination showe d a pseudoaneurysm of unknown etiology. The postoperative courses were unev entful, and both patients were doing well at the time of writing.