A 60-Year-Old Man with an Incidental Finding of an Asymptomatic Aneurysm of the Right Gastroepiploic Artery Managed by Laparoscopic Resection

Sep 28, 2026

Case report describing a 60-year-old asymptomatic man in whom a right gastroepiploic artery aneurysm was incidentally discovered during computed tomography. The patient had no abdominal pain and no history of upper or lower gastrointestinal bleeding. Definitive laparoscopic resection (aneurysmectomy) was performed with uneventful operative and postoperative courses. Histopathology showed no evidence suggesting genetic or connective tissue disorders, and the presentation highlights the rarity and rupture-related mortality risk of this condition.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages6

Reading Time15 min

AccessFree to download

Introduction

Background on splanchnic and gastroepiploic artery aneurysms

Etiology and rupture risk

Case report

Incidental discovery and clinical presentation

Surgical management and outcomes

Conclusions

e-ISSN 1941-5923 © Am J Case Rep, 2025; 26: e948020 DOI: 10. 12659/AJCR.948020 Received: 2025.01.08 Accepted: 2025.10.01 Available online: 2025.11.06 Published: 2025.12.11 A 60-Year-Old Man with an Incidental Finding of an Asymptomatic Aneurysm of the Right Gastroepiploic Artery Managed by Laparoscopic Resection Authors’ Contribution: Study Design A Data Collection B Statistical Analysis C Data Interpretation D Manuscript Preparation E Literature Search F Funds Collection G ABCDEF 1,2 Maksymilian Baryła ABD 1 Paweł Kazimierz Ziemiański 1 Department of General and Transplant Surgery, Infant Jesus Hospital, Medical University of Warsaw, Warsaw, Poland 2 Department of Biochemistry, Medical University of Warsaw, Warsaw, Poland Corresponding Author: Maksymilian Baryła, [e-mail:](e-mail: maksymilian.baryla@wum.edu.pl)[ maksymilian.baryla@wum.edu.pl](e-mail: maksymilian.baryla@wum.edu.pl)[ ](e-mail: maksymilian.baryla@wum.edu.pl)[Financial support:](Financial support: None declared)[ None declared](Financial support: None declared) [Conflict of interest:](Conflict of interest: None declared)[ None declared](Conflict of interest: None declared) Patient: Male, 60-year-old Final Diagnosis: Gastroepiploic aneurysm Symptoms: Asymptomatic Clinical Procedure: Aneurysmectomy Specialty: Surgery Objective: Rare disease Background: The right and left gastroepiploic arteries supply the stomach and greater omentum. The right gastroepiploic artery originates from the gastroduodenal artery and runs along the greater curvature of the stomach. Aneurysms of the gastroepiploic arteries are rare; however, despite their low incidence, their rupture is associated with a mortality rate of up to 70%. Management options for gastroepiploic artery aneurysms include open surgery, endovascular techniques, and laparoscopic procedures. This report presents the case of a 60-year-old man with an incidentally discovered, asymptomatic aneurysm of the right gastroepiploic artery, managed successfully by laparoscopic resection. Case Report: A 60-year-old man was incidentally diagnosed with a right gastroepiploic artery aneurysm during a computed tomography scan. The patient was asymptomatic, reporting no abdominal pain or other clinical signs. He had no history of gastrointestinal bleeding, either from the upper or lower tract. The patient was admitted to the Department of General and Transplant Surgery. Laparoscopic resection of the aneurysm was proposed and performed as definitive treatment. The operative and postoperative courses were uneventful. Histopathological examination did not reveal any lesions suggestive of genetic or connective tissue disorders. Conclusions: This case describes a rare presentation of an asymptomatic aneurysm of the right gastroepiploic artery, which was successfully managed with laparoscopic resection. Laparoscopic management may offer a safe and effective alternative for treating asymptomatic, non-ruptured gastroepiploic artery aneurysms. Compared with noninvasive methods, laparoscopy provides a minimally invasive yet definitive approach and can be particularly beneficial in patients with tortuous vasculature, obesity, or multiple comorbidities. Keywords: Aneurysm • Gastroepiploic Artery • Laparoscopy Full-text PDF: [https://www.amjcaserep.com/abstract/index/idArt/948020](https://www.amjcaserep.com/abstract/index/idArt/948020) 2017 — 7 22 Publisher’s note: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher This work is licensed under Creative Common AttributionNonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) e948020-1 Indexed in: [PMC] [PubMed] [Emerging Sources Citation Ind

FAQs

How was the gastroepiploic aneurysm detected in this patient?

It was incidentally diagnosed during computed tomography; the patient was asymptomatic and reported no abdominal pain or other clinical signs.

What treatment was used for the asymptomatic right gastroepiploic artery aneurysm?

Definitive laparoscopic resection (aneurysmectomy) was proposed and performed as the definitive treatment.

What did histopathology show after surgery?

Histopathological examination did not reveal lesions suggestive of genetic or connective tissue disorders.

Sep 28, 2026

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