<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512024000300028</article-id>
<article-id pub-id-type="doi">10.25748/arp.34801</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Ruptured Gastroepiploic Artery Aneurysm: A Rare Case Successfully Treated with an Endovascular Approach]]></article-title>
<article-title xml:lang="pt"><![CDATA[Rotura de Aneurisma da Artéria Gastroepiplóica: Um Caso Raro Tratado com Sucesso Através de uma Abordagem Endovascular]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borges]]></surname>
<given-names><![CDATA[Eva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Ana Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leitão]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ULS de Santa Maria Surgery Department ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS de Santa Maria Radiology Department ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,University of Lisbon Faculty of Medicine ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<fpage>28</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512024000300028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512024000300028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512024000300028&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: Visceral artery aneurysms can cause life-threatening bleedings. Aneurysms of the left gastroepiploic artery are very rare, and their clinical presentation is not specific. Case Presentation: We present a 72-year-old man with progressively worsening abdominal pain and a drop in hemoglobin level from 15.3 g/dL to 10.7 g/dL. A contrast-enhanced computed tomography scan revealed an omental hematoma. Subsequent arteriography confirmed a ruptured left gastric epiploic artery and successful embolization was performed. Discussion: Although rare, the rupture of a visceral aneurysm can lead to emergency admission. Depending on the aneurysm´s location and size, the clinical presentation can range from abdominal pain to shock. The decision between surgical or endovascular treatment should be individualized. Conclusion: A ruptured left gastroepiploic aneurysm is a rare condition that may manifest only with abdominal pain. Endovascular access can be a safe approach in hemodynamically stable patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Introdução: A rotura aguda de um aneurisma visceral pode causar uma hemorragia grave. O aneurisma da artéria gastroepiplóica esquerda é uma condição rara. A apresentação clínica não é específica e pode ser indolente. Caso Clínico: Doente de 72 anos com dor abdominal de agravamento progressivo, que se acompanhava de uma descida da hemoglobina de 15,3g/dL para 10,7g/dL. A realização de tomografia computorizada com contraste evidenciou um hematoma mesentérico. A realização de arteriografia confirmou a rotura de aneurisma da artéria gastroepiplóica esquerda que foi, com sucesso, submetida a embolização. Discussão: Embora raro, a rotura de um aneurisma visceral pode ser uma causa de admissão no Serviço de Urgência. De acordo com a localização e tamanho do aneurisma, a apresentação clínica pode variar de dor abdominal a choque hipovolémico. A decisão entre abordagem cirúrgica ou percutânea deve ser individualizada. Conclusão: A rotura de um aneurisma da artéria gastroepiploica é uma condição rara que pode se manifestar simplesmente com dor abdominal. O acesso endovascular pode ser uma abordagem segura em doentes hemodinamicamente estáveis.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[Gastroepiploic aneurysm]]></kwd>
<kwd lng="en"><![CDATA[Arterial embolization]]></kwd>
<kwd lng="en"><![CDATA[Case report.]]></kwd>
<kwd lng="pt"><![CDATA[Dor abdominal]]></kwd>
<kwd lng="pt"><![CDATA[Aneurisma artéria gastroepiplóica]]></kwd>
<kwd lng="pt"><![CDATA[Embolização arterial]]></kwd>
<kwd lng="pt"><![CDATA[Caso clínico.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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