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Rupture of the Gastroduodenal Artery

James W. Sampsell, MD
JAMA. 1967;202(9):914-915. doi:10.1001/jama.1967.03130220102029.
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To the Editor:—  Isolated injury of vessels within the abdomen accompanying a crushing injury is rare, but specific rupture of mesenteric arteries,1 aorta, vena cava, and mesenteric veins2 have been reported. This communication records a bizarre and isolated tear of the gastroduodenal artery giving rise to massive hemorrhage.

Report of a Case:—  A 30-year-old man was admitted to the emergency room after an automobile accident; the patient had been drinking beer, and no satisfactory explanation of the mechanism of injury was obtainable. It was known that he was seated to the right of the driver when the car went of the road and turned over. The seat belt was not in use. The patient was pale, distressed, and in obvious shock with a systolic blood pressure of 60 mm Hg. He complained of pain in the right side of the abdomen and increasing pain in the left shoulder.


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