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Case ReportCase Report
Open Access

Giant left gastric artery aneurysm with intrathoracic extension

Ayhan Akcali, Bilal Ogan, Celal Buğra Sezen and Muzaffer Metin
Saudi Medical Journal February 2025, 46 (2) 199-201; DOI: https://doi.org/10.15537/smj.2025.46.2.20240847
Ayhan Akcali
From the Department of Radiology (Akcali), Private A Plus Hospital, from the Department of Radiology (Ogan), Istanbul Haseki Training and Research Hospital, and from the Department of Thoracic Surgery (Buğra Sezen, Metin), Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.
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Bilal Ogan
From the Department of Radiology (Akcali), Private A Plus Hospital, from the Department of Radiology (Ogan), Istanbul Haseki Training and Research Hospital, and from the Department of Thoracic Surgery (Buğra Sezen, Metin), Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.
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Celal Buğra Sezen
From the Department of Radiology (Akcali), Private A Plus Hospital, from the Department of Radiology (Ogan), Istanbul Haseki Training and Research Hospital, and from the Department of Thoracic Surgery (Buğra Sezen, Metin), Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.
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Muzaffer Metin
From the Department of Radiology (Akcali), Private A Plus Hospital, from the Department of Radiology (Ogan), Istanbul Haseki Training and Research Hospital, and from the Department of Thoracic Surgery (Buğra Sezen, Metin), Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.
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    Figure 1

    - Non-contrast CT axial slice demonstrates a large hypodense lesion with a smooth contour in the lower region of the right lung and a ring of hyperdense thrombus peripherally A) Non-contrast computed tomography (CT) axial slice showing a large hypodense lesion with a smooth contour in the lower region of the right lung and a ring of hyperdense thrombus in the periphery of the lesion. B) Contrast-enhanced CT section of the coronal plane showing an aberrant left gastric artery (filled white arrow) arising from the right lateral wall of the aorta and a giant aneurysm (hollow white arrow) in the right inferior lung.

  • Figure 2
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    Figure 2

    - Macroscopic specimen of a giant aneurysmal sac completely removed from the right hemithorax using the video-assisted thoracoscopic surgery.

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    Figure 3

    - The timeline summarizes the patient’s initial presentation, physical examination and laboratory findings, computed tomography scan, diagnosis, and treatment and follow-up.

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Saudi Medical Journal: 46 (2)
Saudi Medical Journal
Vol. 46, Issue 2
1 Feb 2025
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Giant left gastric artery aneurysm with intrathoracic extension
Ayhan Akcali, Bilal Ogan, Celal Buğra Sezen, Muzaffer Metin
Saudi Medical Journal Feb 2025, 46 (2) 199-201; DOI: 10.15537/smj.2025.46.2.20240847

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Giant left gastric artery aneurysm with intrathoracic extension
Ayhan Akcali, Bilal Ogan, Celal Buğra Sezen, Muzaffer Metin
Saudi Medical Journal Feb 2025, 46 (2) 199-201; DOI: 10.15537/smj.2025.46.2.20240847
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Keywords

  • left gastric artery
  • anatomical variation
  • giant aneurysm

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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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