Abstract
Fatal gastrointestinal bleeding is rarely caused by a ruptured abnormal intramural gastric artery, and in such cases the nature of the abnormality in the ruptured artery has not been clearly defined. In this report, a case of fatal haemorrhage from a ruptured artery in the stomach of a 34-yr-old male is presented. The arterial lesion was demonstrated and appeared similar to the berry aneurysms of the Circle of Willis–which are probably the result of developmental defects in the media of the arterial wall. Phlebosclerosis due to portal hypertension was a coincidental finding. Previously reported cases are considered and compared with the present case.