{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T11:04:31Z","timestamp":1789383871267,"version":"build-2803163510"},"reference-count":11,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract Visceral artery aneurysms are rare, with left gastric artery aneurysms representing a small proportion. Most are asymptomatic and incidentally detected, but rupture can lead to life-threatening intra-abdominal hemorrhage. We report a 50-year-old male presenting with sudden epigastric pain and hypovolemic shock. Imaging revealed a ruptured left gastric artery aneurysm with active bleeding and extensive hemoperitoneum. Emergency laparotomy with aneurysm excision and vessel ligation was performed successfully. The patient\u2019s postoperative course was uneventful, and follow-up imaging showed no residual aneurysm. This case underscores the need for early recognition and prompt surgical intervention to improve outcomes in this rare condition.<\/jats:p>","DOI":"10.1590\/1677-5449.202502172","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T10:31:03Z","timestamp":1789381863000},"source":"Crossref","is-referenced-by-count":0,"title":["Ruptured left gastric artery aneurysm presenting with life-threatening intraperitoneal hemorrhage: a rare vascular emergency"],"prefix":"10.1590","volume":"25","author":[{"given":"Ayman Hassan Khamis","family":"Alserr","sequence":"first","affiliation":[{"name":"Sultan Qaboos Hospital,  Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Salem","family":"Amer","sequence":"additional","affiliation":[{"name":"Sultan Qaboos Hospital,  Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malak Mohsin","family":"Almarhoun","sequence":"additional","affiliation":[{"name":"Sultan Qaboos Hospital,  Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1446-554X","authenticated-orcid":false,"given":"Mansoor Cherumkuzhiyil","family":"Abdulla","sequence":"additional","affiliation":[{"name":"Sultan Qaboos Hospital,  Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"3","key":"ref1","first-page":"e1","article-title":"Ruptured left gastric artery aneurysms: three cases managed successfully with open surgical repair","volume":"64","author":"Monteagudo-Vela V","year":"2016","journal-title":"J Vasc Surg"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"1694","DOI":"10.1016\/j.jvs.2019.02.024","article-title":"A systematic review and meta-analysis of the management of visceral artery aneurysms","volume":"70","author":"Barrionuevo P","year":"2019","journal-title":"J Vasc Surg"},{"issue":"S1","key":"ref3","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s00772-018-0384-x","article-title":"Visceral artery aneurysms","volume":"23","author":"Juntermanns B","year":"2018","journal-title":"Gefasschirurgie"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"68","DOI":"10.5152\/jemcr.2018.2211","article-title":"Left gastric artery aneurysm rupture: case report and review","volume":"9","author":"\u00c7akmak P","year":"2018","journal-title":"J Emerg Med Case Rep."},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"1694","DOI":"10.1016\/j.jvs.2019.02.024","article-title":"A systematic review and meta-analysis of the management of visceral artery aneurysms","volume":"70","author":"Barrionuevo P","year":"2019","journal-title":"J Vasc Surg"},{"issue":"4","key":"ref6","doi-asserted-by":"crossref","first-page":"68","DOI":"10.5152\/jemcr.2018.2211","article-title":"Left gastric artery aneurysm rupture: case report","volume":"9","author":"\u00c7akmak P","year":"2018","journal-title":"J Emerg Med Case Rep."},{"issue":"3","key":"ref7","first-page":"e1","article-title":"Ruptured left gastric artery aneurysms: three cases managed successfully with open surgical repair","volume":"64","author":"Monteagudo-Vela V","year":"2016","journal-title":"J Vasc Surg"},{"issue":"2","key":"ref8","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.ejvs.2025.06.010","article-title":"European Society for Vascular Surgery (ESVS) 2025 clinical practice guidelines on the management of diseases of the mesenteric and renal arteries and veins","volume":"70","author":"Koelemay MJ","year":"2025","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1038\/s41598-020-80150-2","article-title":"Endovascular management of giant visceral aneurysms","volume":"11","author":"Tipaldi MA","year":"2021","journal-title":"Sci Rep"},{"issue":"1S","key":"ref10","doi-asserted-by":"crossref","first-page":"3S","DOI":"10.1016\/j.jvs.2020.01.039","article-title":"The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms","volume":"72","author":"Chaer RA","year":"2020","journal-title":"J Vasc Surg"},{"issue":"9","key":"ref11","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1093\/eurheartj\/ehx095","article-title":"2017 ESC Guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS)","volume":"39","author":"Cohnert T","year":"2018","journal-title":"Eur Heart J"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":["Ruptura de aneurisma da art\u00e9ria g\u00e1strica esquerda apresentando-se com hemorragia intraperitoneal com risco de vida: uma emerg\u00eancia vascular rara"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492026000101814&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T10:31:05Z","timestamp":1789381865000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492026000101814&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":11,"alternative-id":["S1677-54492026000101814"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202502172","relation":{},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e20250217"}}