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Visceral Arterial Bleeding

Visceral Arterial Bleeding

Visceral arterial bleeding refers to bleeding from the arteries that supply blood to the abdominal organs, including the intestines, spleen, liver, stomach, and pancreas. This type of bleeding can be life-threatening if not promptly diagnosed and treated.

There are two main causes of visceral arterial bleeding:

  • Ruptured visceral artery aneurysm:Aneurysms are weak areas in the wall of an artery that bulge outward like a balloon. If a visceral artery aneurysm ruptures, it can cause significant bleeding into the abdomen. 
  • Trauma: Injury to the abdomen, such as from a car accident or stab wound, can damage the visceral arteries and cause bleeding.

Symptoms

Symptoms of visceral arterial bleeding can vary depending on the location and severity of the bleeding. Some common symptoms include:

  • Severe abdominal pain
  • Nausea and vomiting
  • Blood in the stool (melena)
  • Lightheadedness or dizziness
  • Rapid heart rate
  • Weakness
  • Pale skin

If you experience any of these symptoms, it is important to seek medical attention immediately. Visceral arterial bleeding is a medical emergency and requires prompt treatment.

 

Diagnosis

Diagnosis of visceral arterial bleeding typically involves a combination of imaging tests, such as:

  • Digital subtraction angiography (DSA): As described previously, this minimally invasive procedure uses X-rays and contrast dye to visualize the blood vessels in the abdomen (Click here to read more on Digital subtraction angiogram)
  • Angiography CT scan: A CT scan with contrast dye can also be used to identify bleeding and pinpoint the location of the bleeding artery.
  • Abdominal ultrasound: While less detailed than DSA or CT angiography, ultrasound can sometimes detect signs of bleeding in the abdomen.

 

Treatment

Treatment for visceral arterial bleeding depends on the cause and severity of the bleeding. In some cases, the bleeding may stop on its own. However, most cases of visceral arterial bleeding require prompt intervention to stop the bleeding and prevent further complications.

Treatment options may include:

  • Angiography with embolization: During this procedure, a catheter is inserted into an artery and threaded up to the bleeding site. Tiny particles (coils) are then inserted through the catheter to block off the bleeding artery (Click here to read more on Embolization for bleed post trauma)
  • Surgery: In some cases, surgery may be necessary to repair the damaged artery or remove a ruptured aneurysm.