Gastrointestinal Bleeding After Laparoscopic Duodenal Switch and SADI-S Caused by Pseudoaneurysm of Gastroduodenal Artery: First Reported Cases

2021 ◽  
Author(s):  
Claudio Lazzara ◽  
Javier Osorio ◽  
Joana Valcarcel ◽  
Jordi Pujol-Gebellí
Keyword(s):  
Gastrointestinal Bleeding ◽  
Duodenal Switch ◽  
Gastroduodenal Artery ◽  
Artery First

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

scholarly journals Pseudoaneurysm of gastroduodenal artery due to duodenal ulcer causing jaundice and interstitial pancreatitis but not gastrointestinal bleeding

2004 ◽  
Vol 132 (3-4) ◽  
pp. 108-111 ◽  
Author(s):  
Miodrag Jovanovic ◽  
Radoje Colovic ◽  
Nikica Grubor ◽  
Mirjana Perisic ◽  
Vladimir Radak
Keyword(s):  
Duodenal Ulcer ◽  
Gastrointestinal Bleeding ◽  
Heavy Drinking ◽  
Gastroduodenal Artery ◽  
Operative Trauma ◽  
Billroth Ii Gastrectomy ◽  
Successful Recovery ◽  
Pseudo Aneurysm ◽  
Alcohol Consumer ◽  
Postbulbar Duodenal Ulcer

Aneurysms and pseudoaneurysms of the gastroduodenal artery are rare with less then 50 cases reported. Most frequently they are one of the consequences of pancreatitis much rarer duodenal ulcer or operative trauma during gastrectomy for duodenal ulcer or choledochotomy. We report on a 47 year-old man, chronic heavy alcohol consumer in whom a chronic postbulbar duodenal ulcer destroyed much of the back wall of the duodenum, eroded gastroduodenal artery causing pseudo-aneurysm but without noticeable gastrointestinal bleeding. The patient had jaundice of obstructive type and elevated amilase. After Billroth II gastrectomy, suture of the gastroduodenal artery, cholecystectomy and T tube drainage of the common bile duct the patient developed intestinal obstruction caused by two interintestinal abscesses so that he had to be reoperated. After that he had a successful recovery, his general health greatly improved, he gained 15 kg in weight but two years after surgery he again started with heavy drinking and soon died due to serious brain damage. The case is rare and unusual at least for few reasons: First, the pseudoaneurysm was caused by duodenal ulcer. Second, a serious gastrointestinal bleeding did not take place. Third, the pseudoaneurysm was diagnosed by Doppler ultrasonography while angiography failed to opacity it due to thrombosis of the artery.

scholarly journals Replaced gastroduodenal artery: Added benefit of the “artery first” approach during pancreaticoduodenectomy—A case report

2016 ◽  
Vol 23 ◽  
pp. 93-97 ◽  
Author(s):  
George Younan ◽  
Munyaradzi Chimukangara ◽  
Susan Tsai ◽  
Douglas B. Evans ◽  
Kathleen K. Christians
Keyword(s):  
Case Report ◽  
Gastroduodenal Artery ◽  
Artery First ◽  
Added Benefit

Recurrent Gastrointestinal Bleeding (GIB) in a Patient with Pseudoaneurysm of the Gastroduodenal Artery (GDA)

2010 ◽  
Vol 105 ◽  
pp. S373
Author(s):  
Puneet Basi ◽  
Siddharth Mathur ◽  
Vishal Ghevariya ◽  
Pragati Jain ◽  
Imtiaz Ahmad ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastroduodenal Artery

Gastroduodenal artery coiling to curb upper gastrointestinal bleeding

2017 ◽  
Vol 52 (10) ◽  
pp. 1699-1701
Author(s):  
Krishnamurti A. Rao ◽  
Ramsey Al-Hakim ◽  
Thomas Scagnelli ◽  
George Sanchez ◽  
William Munios ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Gastroduodenal Artery ◽  
Upper Gastrointestinal

scholarly journals A case of gastrointestinal bleeding due to ruptured aneurysm of the gastroduodenal artery

2013 ◽  
Vol 74 (1) ◽  
pp. 212-216
Author(s):  
Shunsuke MOTOI ◽  
Teruo KOMOKATA ◽  
Yuichi SHIMAMOTO ◽  
Iwao KITAZONO ◽  
Kouta YOSHIKAWA ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastroduodenal Artery ◽  
Ruptured Aneurysm

scholarly journals Rare case of a giant duodenal ulcer penetrating the pancreas during antiangiogenic treatment

2019 ◽  
Vol 12 (5) ◽  
pp. e228612 ◽  
Author(s):  
Carolina Palmela ◽  
Catarina Gouveia ◽  
Catarina Fidalgo ◽  
Alexandre Oliveira Ferreira
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Vessel Diameter ◽  
Gastroduodenal Artery ◽  
Causal Association ◽  
Antiangiogenic Treatment ◽  
Penetrating Ulcer ◽  
Giant Duodenal Ulcer ◽  
Inflammatory Drugs ◽  
Upper Gastrointestinal

We report a case of a patient with renal cell carcinoma on pazopanib, who presented with severe upper gastrointestinal bleeding. Endoscopy showed a giant bulbar ulcer with a visible vessel of 4 mm. Due to unavailability of surgical rescue backup, large calibre vessel treatment was delayed. Endoscopy was repeated after 48 hours and showed a reduction in the vessel diameter. Endoscopic adrenalin injection and electrocoagulation were performed. However, the vessel increased in size and became pulsatile. The patient was operated, confirming a giant bulbar ulcer penetrating the pancreas with active bleeding from the gastroduodenal artery. Pazopanib therapy was suspended, and the patient is asymptomatic. Antiangiogenic treatment has been associated with gastrointestinal bleeding, perforation and fistulisation. Although we cannot confirm the causal association between the penetrating ulcer and pazopanib, the absence of Helicobacter pylori infection or non-steroidal anti-inflammatory drugs, and the reported cases of gastrointestinal bleeding during these therapies favour a possible association.

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