{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:07:20Z","timestamp":1768435640465,"version":"3.49.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T00:00:00Z","timestamp":1558483200000},"content-version":"vor","delay-in-days":141,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Abdominal visceral artery pseudoaneurysms and dissections in blunt trauma are uncommon, however, solitary vascular injury of the left gastric artery and development of multifocal dissections are extremely rare with only 5 reported cases in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>A 79-year-old male presents two days after a motor boating incident in profound hemorrhagic shock. Subsequent CT imaging revealed moderate hemoperitoneum, two pseudoaneurysms of the left gastric artery measuring 6 mm and 9 mm, as well as attenuation of the artery in keeping with a focal dissection and intramural thrombus, and no active extravasation. After stabilization with blood product resuscitation, he was managed conservatively with administration of ASA and close monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Abdominal visceral artery vascular injuries in blunt trauma can be managed safely with close monitoring, antithrombotic agent, and medical co-morbidity optimization. Instability or worsening\/ persistent symptoms should be considered for endovascular treatment or surgical ligation Further research and reporting of management approaches are required.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2019.05.028","type":"journal-article","created":{"date-parts":[[2019,5,23]],"date-time":"2019-05-23T21:39:43Z","timestamp":1558647583000},"page":"30-33","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Rare constellation of abdominal vascular injuries in blunt trauma"],"prefix":"10.1097","volume":"60","author":[{"given":"Karan","family":"D\u2019Souza","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Sean","family":"Bleszynski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harvey George","family":"Hawes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-8-20260114","doi-asserted-by":"crossref","first-page":"E71","DOI":"10.1148\/rg.333115036","article-title":"Abdominal and pelvic aneurysms and pseudoaneurysms: imaging review with clinical, radiologic, and treatment correlation","volume":"33","author":"Jesinger","year":"2013","journal-title":"Radiographics"},{"key":"R2-8-20260114","doi-asserted-by":"crossref","first-page":"2004","DOI":"10.1007\/s00330-015-3599-1","article-title":"Visceral artery aneurysms: incidence, management, and outcome analysis in a tertiary care center over one decade","volume":"25","author":"Pitton","year":"2015","journal-title":"Eur. 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Int"},{"key":"R10-8-20260114","first-page":"15","article-title":"Embolization of left gastric artery pseudoaneurysm after blunt trauma","volume":"9","author":"Nissim","year":"2017","journal-title":"Imaging Med"},{"key":"R11-8-20260114","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.avsg.2014.09.004","article-title":"The evidence for nonoperative management of visceral artery dissections: a single-center experience","volume":"29","author":"Alcantara","year":"2015","journal-title":"Ann. Vasc. Surg"},{"key":"R12-8-20260114","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.jvs.2016.08.080","article-title":"Clinical presentation, management, follow-up, and outcomes of isolated celiac and superior mesenteric artery dissections","volume":"65","author":"Zettervall","year":"2017","journal-title":"J. Vasc. 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Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261219302755?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261219302755?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201960000-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:39:18Z","timestamp":1768397958000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201960000-00008"}},"subtitle":["Left gastric artery pseudoaneurysms and dissection"],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2019.05.028","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}