{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T09:20:46Z","timestamp":1754558446459},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"LiTao","award":["2021BEG03087"],"award-info":[{"award-number":["2021BEG03087"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Postoperative delayed bleeding of gastric cancer is a complication of radical gastrectomy with low incidence rate and high mortality.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>This case report presents the case of a 63-year-old female patient of Mongolian ethnicity who was diagnosed with gastric malignancy during a routine medical examination and underwent Billroth's I gastric resection in our department. However, on the 24th day after the surgery, she was readmitted due to sudden onset of hematemesis. Gastroscopy, abdominal CT, and digital subtraction angiography revealed postoperative anastomotic fistula, rupture of the duodenal artery, and bleeding from the abdominal aorta. The patient underwent three surgical interventions and two arterial embolizations. The patient\u2019s condition stabilized, and she was discharged successfully.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Currently, there are no specific guidelines for the diagnosis and treatment of pseudoaneurysms in the abdominal cavity resulting from gastric cancer surgery. Early digital subtraction angiography examination should be performed to assist in formulating treatment plans. Early diagnosis and treatment contribute to an improved overall success rate of rescue interventions.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-024-04531-1","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:01:42Z","timestamp":1714003302000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Postoperative delayed massive bleeding in gastric cancer: a case report"],"prefix":"10.1186","volume":"18","author":[{"given":"Zhongting","family":"Lu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenhui","family":"Qin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingxuan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,25]]},"reference":[{"issue":"1","key":"4531_CR1","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1245\/s10434-006-9063-3","volume":"14","author":"D Marrelli","year":"2007","unstructured":"Marrelli D, Pedrazzani C, Neri A, et al. Complications after extended (D2) and superextended (D3) lymphadenectomy for gastric cancer: analysis of potential risk factors. Ann Surg Oncol. 2007;14(1):25\u201333. https:\/\/doi.org\/10.1245\/s10434-006-9063-3.","journal-title":"Ann Surg Oncol"},{"issue":"25","key":"4531_CR2","doi-asserted-by":"publisher","first-page":"4060","DOI":"10.3748\/wjg.v19.i25.4060","volume":"19","author":"QG Li","year":"2013","unstructured":"Li QG, Li P, Tang D, Chen J, Wang DR. Impact of postoperative complications on long-term survival after radical resection for gastric cancer. World J Gastroenterol. 2013;19(25):4060\u20135. https:\/\/doi.org\/10.3748\/wjg.v19.i25.4060.","journal-title":"World J Gastroenterol"},{"issue":"3","key":"4531_CR3","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1007\/s00423-013-1047-8","volume":"398","author":"B Darnis","year":"2013","unstructured":"Darnis B, Lebeau R, Chopin-Laly X, Adham M. Postpancreatectomy hemorrhage (PPH): predictors and management from a prospective database. Langenbecks Arch Surg. 2013;398(3):441\u20138. https:\/\/doi.org\/10.1007\/s00423-013-1047-8.","journal-title":"Langenbecks Arch Surg"},{"issue":"1","key":"4531_CR4","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.surg.2007.02.001","volume":"142","author":"MN Wente","year":"2007","unstructured":"Wente MN, Veit JA, Bassi C, et al. Postpancreatectomy hemorrhage (PPH): an International study group of pancreatic surgery (ISGPS) definition. Surgery. 2007;142(1):20\u20135. https:\/\/doi.org\/10.1016\/j.surg.2007.02.001.","journal-title":"Surgery"},{"issue":"6","key":"4531_CR5","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1016\/j.surg.2014.01.014","volume":"155","author":"JY Park","year":"2014","unstructured":"Park JY, Kim YW, Eom BW, et al. Unique patterns and proper management of postgastrectomy bleeding in patients with gastric cancer. Surgery. 2014;155(6):1023\u20139. https:\/\/doi.org\/10.1016\/j.surg.2014.01.014.","journal-title":"Surgery"},{"issue":"4","key":"4531_CR6","doi-asserted-by":"publisher","first-page":"549","DOI":"10.3892\/mco.2014.288","volume":"2","author":"Q Huang","year":"2014","unstructured":"Huang Q, Gao K, Zhai RY. Endovascular management of two episodes of late intraperitoneal hemorrhage following laparoscopic gastrectomy for gastric cancer. Mol Clin Oncol. 2014;2(4):549\u201352. https:\/\/doi.org\/10.3892\/mco.2014.288.","journal-title":"Mol Clin Oncol"},{"issue":"118","key":"4531_CR7","doi-asserted-by":"publisher","first-page":"2016","DOI":"10.5754\/hge11825","volume":"59","author":"Z Li","year":"2012","unstructured":"Li Z, Jie Z, Liu Y, Xie X. Management of delayed hemorrhage following radical gastrectomy for gastric carcinoma patients. Hepatogastroenterology. 2012;59(118):2016\u20139. https:\/\/doi.org\/10.5754\/hge11825.","journal-title":"Hepatogastroenterology"},{"issue":"12","key":"4531_CR8","doi-asserted-by":"publisher","first-page":"2878","DOI":"10.3748\/wjg.v9.i12.2878","volume":"9","author":"DY Kim","year":"2003","unstructured":"Kim DY, Joo JK, Ryu SY, Kim YJ, Kim SK, Jung YY. Pseudoaneurysm of gastroduodenal artery following radical gastrectomy for gastric carcinoma patients. World J Gastroenterol. 2003;9(12):2878\u20139. https:\/\/doi.org\/10.3748\/wjg.v9.i12.2878.","journal-title":"World J Gastroenterol"},{"issue":"10","key":"4531_CR9","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1007\/s005950170039","volume":"31","author":"H Sugimoto","year":"2001","unstructured":"Sugimoto H, Kaneko T, Ishiguchi T, et al. Delayed rupture of a pseudoaneurysm following pancreatoduodenectomy: report of a case. Surg Today. 2001;31(10):932\u20135. https:\/\/doi.org\/10.1007\/s005950170039.","journal-title":"Surg Today"},{"issue":"3","key":"4531_CR10","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1016\/j.clinthera.2020.01.008","volume":"42","author":"Y Liu","year":"2020","unstructured":"Liu Y, Li D, Wen A. Pharmacologic prophylaxis of stress ulcer in non-ICU patients: a systematic review and network meta-analysis of randomized controlled trials. Clin Ther. 2020;42(3):488-498.e8. https:\/\/doi.org\/10.1016\/j.clinthera.2020.01.008.","journal-title":"Clin Ther"},{"issue":"06","key":"4531_CR11","first-page":"245","volume":"43","author":"W Junfu","year":"2016","unstructured":"Junfu W, YongLin XH, et al. Clinical analysis and prevention of delayed postoperative bleeding in D2 radical gastrectomy for gastric cancer. Chin J Clin Oncol. 2016;43(06):245\u20139.","journal-title":"Chin J Clin Oncol"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04531-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-024-04531-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04531-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:01:47Z","timestamp":1714003307000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-024-04531-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,25]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4531"],"URL":"https:\/\/doi.org\/10.1186\/s13256-024-04531-1","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,25]]},"assertion":[{"value":"13 January 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"218"}}