TY - JOUR
T1 - Gastric bleeding in giant cell arteritis
AU - Childress, Austin
AU - Kwarcinski, Thomas J.
AU - Bittle, Joseph Scott H.
AU - Trimmer, Clayton
N1 - Publisher Copyright:
© Copyright © 2020 Baylor University Medical Center.
PY - 2021
Y1 - 2021
N2 - Giant cell arteritis (GCA) is a systemic vasculitis that classically affects large- and medium-sized vessels in the head and neck but can also manifest extracranially. 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.
AB - Giant cell arteritis (GCA) is a systemic vasculitis that classically affects large- and medium-sized vessels in the head and neck but can also manifest extracranially. 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.
KW - Embolization
KW - extracranial giant cell arteritis
KW - interventional radiology
KW - mesenteric vasculopathy
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U2 - 10.1080/08998280.2020.1824851
DO - 10.1080/08998280.2020.1824851
M3 - Article
C2 - 33456164
AN - SCOPUS:85092706319
SN - 0899-8280
VL - 34
SP - 109
EP - 110
JO - Baylor University Medical Center Proceedings
JF - Baylor University Medical Center Proceedings
IS - 1
ER -