Gastric bleeding in giant cell arteritis

We report the case of an elderly man who presented with sharp substernal pain, dizziness, and visual changes. He was initially hypotensive and anemic, and imaging showed hemoperitoneum with possible extravasation. Celiac and gastric angiography demonstrated findings consistent with vasculitis and focal extravasation from a left gastric branch. Subsequent embolization was performed. After the procedure, the patient informed the care team that he had biopsy-proven GCA. Extracranial, celiac/mesenteric arteriopathy is a less common manifestation of GCA, and few reported cases include hemoperitoneum or involvement of second-order branches.PMID:33456164 | PMC:PMC7785139 | DOI:10.1080/08998280.2020.1824851
Source: Baylor University Medical Center Proceedings - Category: Universities & Medical Training Authors: Source Type: research