Gastric and hepatic infarction following embolization of the left gastric artery: case report

Radiology. 1989 Sep;172(3):731-2. doi: 10.1148/radiology.172.3.2788892.


The authors report an initially successful left gastric artery embolization performed because of massive upper gastrointestinal bleeding; the procedure was complicated by focal gastric and hepatic infarctions. These complications occurred in the absence of underlying factors known to predispose to ischemia. Low-grade gastric bleeding persisting after seemingly successful embolization of the left gastric artery may indicate ischemic gastritis and is an indication for endoscopy. In addition, the presence of a left hepatic artery completely replaced to the left gastric artery should alert one to the potential for hepatic necrosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Embolization, Therapeutic / adverse effects*
  • Extravasation of Diagnostic and Therapeutic Materials
  • Gastritis / complications
  • Gastrointestinal Hemorrhage / therapy
  • Gelatin Sponge, Absorbable
  • Humans
  • Infarction / etiology*
  • Liver / blood supply*
  • Male
  • Stomach / blood supply*