scholarly journals Visceral Arterial Aneurysms Complicating Endoscopic Retrograde Cholangiopancreatography

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Vinaya Gaduputi ◽  
Hassan Tariq ◽  
Anil Dev
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Artery Aneurysm ◽  
Gastroduodenal Artery ◽  
Endoscopic Retrograde ◽  
Pancreaticoduodenal Artery ◽  
Diffuse Abdominal Pain ◽  
Artery Pseudoaneurysm ◽  
Splanchnic Artery ◽  
Gastroduodenal Artery Aneurysm ◽  
Arterial Aneurysms

We report this case of a 74-year-old man with altered anatomy secondary to Billroth-II surgery who underwent endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis and subsequently developed severe diffuse abdominal pain with drop in hemoglobin. Patient was found to have hemorrhagic shock requiring aggressive resuscitative measures. Patient was found to have large peripancreatic hematoma secondary to bleeding from gastroduodenal and superior pancreaticoduodenal artery pseudoaneurysms. Gastroduodenal artery aneurysm is the rarest of all the splanchnic artery aneurysms, and to our knowledge this is the only reported case of a gastroduodenal artery pseudoaneurysm complicating ERCP.

Hepatic artery pseudoaneurysm secondary to a cholangitic abscess and its spontaneous thrombosis

2021 ◽  
Vol 14 (11) ◽  
pp. e247304
Author(s):  
Maninder Kaur ◽  
Harsimran Bhatia ◽  
Gaurav Muktesh ◽  
Pankaj Gupta
Keyword(s):  
Hepatic Artery ◽  
Liver Abscess ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Gallstone Disease ◽  
Biliary System ◽  
Endoscopic Retrograde ◽  
Spontaneous Thrombosis ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

Hepatic artery pseudoaneurysm (HAP) is mostly encountered secondary to trauma or iatrogenic causes. HAP associated with cholangitic liver abscess is a rare complication. We present a case of gallstone disease and choledocholithiasis who developed moderate cholangitis and a liver abscess. A small HAP was detected incidentally on a biphasic CT done to evaluate the biliary system. Repeat CT after management with endoscopic retrograde cholangiopancreatography and antibiotics showed resolution of cholangitic abscess with spontaneous thrombosis of HAP.

scholarly journals Gastroduodenal artery aneurysm – A rare complication of traumatic pancreatic injury

2016 ◽  
Vol 19 (6) ◽  
pp. 368-370 ◽  
Author(s):  
Annu Babu ◽  
Amulya Rattan ◽  
Maneesh Singhal ◽  
Amit Gupta ◽  
Subodh Kumar
Keyword(s):  
Rare Complication ◽  
Artery Aneurysm ◽  
Pancreatic Injury ◽  
Gastroduodenal Artery ◽  
Gastroduodenal Artery Aneurysm

Splenic Infarction Complicating Ligation of a Gastroduodenal Artery Aneurysm

1999 ◽  
Vol 16 (3) ◽  
pp. 236-237 ◽  
Author(s):  
W. Schweizer ◽  
N.C. Gries ◽  
G. Maddern ◽  
J. Triller
Keyword(s):  
Artery Aneurysm ◽  
Splenic Infarction ◽  
Gastroduodenal Artery ◽  
Gastroduodenal Artery Aneurysm

scholarly journals Management of pancreaticoduodenal artery aneurysm associated with coeliac artery stenosis

2019 ◽  
Vol 101 (4) ◽  
pp. e105-e107
Author(s):  
SK Kamarajah ◽  
S Kharkhanis ◽  
M Duddy ◽  
J Isaac ◽  
RP Sutcliffe ◽  
...  
Keyword(s):  
Computed Tomography ◽  
High Risk ◽  
Surgical Intervention ◽  
Artery Aneurysm ◽  
Gastroduodenal Artery ◽  
Pancreaticoduodenal Artery ◽  
Computed Tomography Angiogram ◽  
Pancreaticoduodenal Artery Aneurysm ◽  
Radiological Intervention

Pancreaticoduodenal and gastroduodenal artery aneurysms are rare but require early radiological or surgical intervention due to a high risk (61%) of rupture. A 71-year-old woman presented with an incidental 30-mm aneurysm arising from the inferior pancreaticoduodenal artery associated with coeliac axis stenosis. She underwent embolisation of the pancreaticoduodenal aneurysm, but the coeliac axis stenosis was not amenable to radiological intervention. She remained well at six months of follow-up and a repeat computed tomography angiogram six months later reported stable appearances. The management of pancreaticoduodenal aneurysms is discussed.

Endovascular Treatment of Gastroduodenal Artery Aneurysm

2008 ◽  
Vol 16 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Weng Wah Roland Chong ◽  
Seck Guan Tan ◽  
Maung Myint Austin Htoo
Keyword(s):  
Endovascular Treatment ◽  
Artery Aneurysm ◽  
Gastroduodenal Artery ◽  
Gastroduodenal Artery Aneurysm

Gastroduodenal Artery Aneurysm in a Patient With Granulomatosis With Polyangiitis

2019 ◽  
Vol 25 (6) ◽  
pp. e81
Author(s):  
Claude Bachmeyer ◽  
Samuel Haddad ◽  
Michel Djibré ◽  
Benjamin Langman ◽  
Sophie Georgin-Lavialle ◽  
...  
Keyword(s):  
Granulomatosis With Polyangiitis ◽  
Artery Aneurysm ◽  
Gastroduodenal Artery ◽  
Gastroduodenal Artery Aneurysm

Non-operative Management of Necrotic Pancreatic Collection and Bleeding Pseudoaneurysm Communicating with Bowel Lumen at Multiple Sites: a Case Report and Review of the Literature

2016 ◽  
Vol 25 (1) ◽  
pp. 109-114 ◽  
Author(s):  
Roshan Razik ◽  
Gary R. May ◽  
Fred Saibil
Keyword(s):  
Operative Management ◽  
Gastroduodenal Artery ◽  
Pancreatic Pseudocysts ◽  
Gallstone Pancreatitis ◽  
Endoscopic Retrograde ◽  
Pancreaticoduodenal Artery ◽  
Edematous Pancreatitis ◽  
Walled Off Necrosis ◽  
Non Operative Management ◽  
Guided Therapy

Pancreatic pseudocysts and foci of walled-off necrosis (WON) are well-known complications of acute pancreatitis. We present a case of severe gallstone pancreatitis complicated by WON, fistulization to the bowel and gastrointestinal bleeding. Bleeding was localized to a pseudoaneurysm of the gastroduodenal artery within the WON using imaging and endoscopy. Angiography and image-guided therapy were then used to control bleeding with coil-embolization. To our knowledge, this is the first report of non-operative management of a patient with severe pancreatitis complicated by WON and a bleeding pseudoaneurysm with multiple communications to the hollow viscera. Therapeutic options are discussed and a thorough literature review is included. Abbreviations: EGD: esophagogastroduodenoscopy; ERCP: endoscopic retrograde cholangiopancreatography; GDA: gastroduodenal artery; GI: gastrointestinal; IEP: interstitial edematous pancreatitis; IPDA: inferior pancreaticoduodenal artery; WON: walled-off necrosis.

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