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Case Report
Upper gastrointestinal bleeding revealing a gastric arteriovenous malformation emerging from the splenic artery
1 Radiology Department, Ibn Sina Hospital, Rabat, Morocco
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Taibi Basma
Radiology Department, Ibn Sina Hospital, Rabat,
Morocco
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Article ID: 101137Z01TB2020
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Basma T, Hind S, Nabil M, Ittimade N. Upper gastrointestinal bleeding revealing a gastric arteriovenous malformation emerging from the splenic artery. Int J Case Rep Images 2020;11:101137Z01TB2020.ABSTRACT
Introduction: Upper gastrointestinal bleeding caused by arteriovenous malformation (AVM) has been rarely described in the literature and usually presents as massive hematemesis or chronic iron deficiency anemia.
Case Report: We report the case of a 43-yearold man with no medical history, who suffered from gastrointestinal bleeding. The bleeding source was a gastric arteriovenous malformation emerging from the splenic artery identified by computed tomography angiography (CTA) scan. This malformation was responsible of portal hypertension and splenic artery aneurysm. Therapeutic angiography succeeded in occluding the vessel.
Conclusion: Nonspecific endoscopic appearances make the diagnosis difficult. Therapeutic embolization offers a better chance of stopping hemorrhage.
Keywords: Arteriovenous malformation, Embolization, Hematemesis
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Author Contributions
Taibi Basma - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sahli Hind - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Moatassimbillah Nabil - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nassar Ittimade - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Taibi Basma et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
