scholarly journals A challenging case of epigastric pain: diagnosis and mini-invasive treatment of a large gastroduodenal artery pseudoaneurysm

2012 ◽  
Vol 2012 (sep13 1) ◽  
pp. bcr0220125873-bcr0220125873 ◽  
Author(s):  
E. Mazza ◽  
D. Abdulcadir ◽  
C. Raspanti ◽  
M. Acquafresca
Keyword(s):  
Epigastric Pain ◽  
Gastroduodenal Artery ◽  
Invasive Treatment ◽  
Artery Pseudoaneurysm ◽  
Pain Diagnosis

scholarly journals Excluding Gastroduodenal Artery Pseudoaneurysm from Circulation with Stent-Graft

2019 ◽  
Vol 9 (2) ◽  
pp. 106-112
Author(s):  
V. V. Plechev ◽  
O. V. Galimov ◽  
I. I. Galimov ◽  
A. R. Titov ◽  
V. Sh. Ishmetov ◽  
...  
Keyword(s):  
Abdominal Aorta ◽  
Epigastric Pain ◽  
Incidental Finding ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Celiac Trunk ◽  
Gastroduodenal Artery ◽  
Invasive Treatment ◽  
Artery Pseudoaneurysm ◽  
Visceral Arteries

Introduction. Aneurysms of visceral arteries in the abdominal cavity are very rare. Often aneurysms of branches of the abdominal aorta are an incidental finding as patients seldom present obvious clinical signs or pathological changes in the organ supplied by the artery involved. The incidence of aneurysms of branches connecting the celiac trunk and the upper mesenteric artery amounts to 3.5% of all the cases of aneurysms of abdominal aorta arteries, mostly the gastroduodenal artery. This paper presents a case of minimally invasive treatment of gastroduodenal artery pseudoaneurysm at the BSMU Clinic.Materials and methods. Patient K, a 47-year-old female, was admitted for emergency treatment at the Bashkir State Medical University Clinic in May 2019. The patient’s complaints included feeling weak, black stool for seven days prior, faintness and epigastric pain.Results and discussions. Instrumental examination and angiography data demonstrated that the size of the pseudoaneurysm has increased 2.5 times and reached 65×45 mm; the clinical picture led to the conclusion that the aneurysm was ready to rupture and that there was an immediate need to stop the blood flow to the gastroduodenal artery pseudoaneurysm.Conclusion. The range of currently available image-guided surgical procedures makes it possible to perform adequate embolization of pathological structures such as artery aneurysms.

Unusual case of upper gastrointestinal haemorrhage secondary to a ruptured gastroduodenal artery pseudoaneurysm: case presentation and literature review

2020 ◽  
Vol 13 (11) ◽  
pp. e236463
Author(s):  
Gasim Ahmed ◽  
Mehsim Abid ◽  
Sharath Hosmane ◽  
Smitha Mathew
Keyword(s):  
Epigastric Pain ◽  
Gastrointestinal Haemorrhage ◽  
Gastroduodenal Artery ◽  
Laboratory Evaluation ◽  
Blood Collection ◽  
Upper Gastrointestinal Endoscopy ◽  
Amylase Level ◽  
Dark Blood ◽  
Artery Pseudoaneurysm ◽  
Upper Gastrointestinal

Pseudoaneurysm rupture of the gastroduodenal artery (GDA) is life-threatening and can present as an acute upper gastrointestinal haemorrhage. Here, we present a case of upper gastrointestinal haemorrhage arising from a ruptured GDA pseudoaneurysm. A 56-year-old woman presented acutely with haematemesis. She reported ongoing upper epigastric pain for a few weeks. Laboratory evaluation revealed severe microcytic hypochromic anaemia (haemoglobin, 69 g/L; normal, 120–140 g/L) and a mildly raised serum amylase level. Upper gastrointestinal endoscopy revealed dark blood collection between the rugae of the distal stomach. An abdominal CT scan detected a homogeneously enhancing rounded lesion arising from the GDA adjacent to the second part of the duodenum. The median arcuate ligament was causing stenosis of the coeliac axis origin. The diagnosis of haematemesis secondary to a ruptured GDA pseudoaneurysm was confirmed by mesenteric angiography, and aneurysmal embolisation was done. The haemoglobin level stabilised after aneurysmal embolisation.

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.

Gastroduodenal artery pseudoaneurysm

2021 ◽  
Vol 44 (4) ◽  
pp. 306-307
Author(s):  
Lara María Ruiz Belmonte ◽  
Enrique Colás-Ruiz ◽  
Carmen María García Caparrós ◽  
María del Mar Vilchez Mira
Keyword(s):  
Gastroduodenal Artery ◽  
Artery Pseudoaneurysm

Gastroduodenal Artery Pseudoaneurysm Secondary to Pancreatic Head Biopsy

2004 ◽  
Vol 23 (7) ◽  
pp. 997-1001 ◽  
Author(s):  
Ryan Young ◽  
Singh Gagandeep ◽  
Edward Grant ◽  
Suzanne Palmer ◽  
Rodrigo Mateo ◽  
...  
Keyword(s):  
Pancreatic Head ◽  
Gastroduodenal Artery ◽  
Artery Pseudoaneurysm

scholarly journals Eroded GDA coil surgically managed with Roux-en-Y reconstruction

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Michael Iannamorelli ◽  
Adam Bowling ◽  
Elie Semaan
Keyword(s):  
Emergency Department ◽  
Interventional Radiology ◽  
High Risk ◽  
African American Male ◽  
Distal Gastrectomy ◽  
Epigastric Pain ◽  
Duodenal Bulb ◽  
Gastroduodenal Artery ◽  
Loss Of Consciousness ◽  
Upper Endoscopy

Abstract Here, we describe the case of a 56-year-old African American male who initially presented to the emergency department with 2 days of abdominal cramping, epigastric pain, loss of consciousness, melena and hematochezia. He underwent coil embolization of his gastroduodenal artery by the interventional radiology team after it was felt he was a high risk for rebleed. The patient then returned to the hospital with 3 weeks of epigastric pain, lightheadedness and melanotic stool. An upper endoscopy revealed a metallic coil embedded into the duodenal bulb. This coil was believed to be from prior embolization to the gastroduodenal artery. The patient then underwent a laparoscopic distal gastrectomy and partial duodenectomy with antecolic antegastric Roux-en-Y reconstruction bypassing the area where erosion occurred.

scholarly journals Successful Embolization of Posterior Inferior Pancreaticoduodenal Artery Pseudoaneurysm on the Grounds of Chronic Pancreatitis—Case Report and Literature Review

Medicina ◽  
2020 ◽  
Vol 56 (11) ◽  
pp. 617
Author(s):  
Milica Mitrovic ◽  
Vladimir Dugalic ◽  
Jelena Kovac ◽  
Boris Tadic ◽  
Stefan Milosevic ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Color Doppler ◽  
Abdominal Mass ◽  
Subsequent Development ◽  
Invasive Treatment ◽  
Total Size ◽  
Artery Pseudoaneurysm ◽  
Life Threatening ◽  
Vascular Arcade ◽  
Endovascular Coil Embolization

Pancreatic pseudoaneurysm is a rare but life-threatening clinical entity. In this paper, we present a case of a 74-year-old man, who was admitted to our clinic with a diagnosis of an acute on chronic pancreatitis complicated by walled-off-pancreatic-necrosis, with subsequent development of peripancreatic pseudoaneurysm. After initial conservative management, the patient recovered and was discharged from the hospital. However, he soon returned feeling anxious due to a pulsatile abdominal mass. Abdominal Color–Doppler examination, CT scan, and angiography revealed large pancreatic necrotic collection in the total size of 9 cm, with centrally enhancing area of 3.5 cm that corresponded to pseudoaneurysm originating from the posterior pancreaticoduodenal vascular arcade. Considering the size, location of the pseudoaneurysm, feeding vessel, and poor general patients condition, we opted for minimally invasive treatment. Pseudoaneurysm was successfully managed by endovascular coil embolization, i.e., “sandwich technique”.

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