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. 2010 Sep 27;2(9):291-4.
doi: 10.4240/wjgs.v2.i9.291.

Gastroduodenal artery aneurysm rupture in hospitalized patients: An overlooked diagnosis

Kassem Harris  1 , Michel Chalhoub, Ashish Koirala
Affiliations

Gastroduodenal artery aneurysm rupture in hospitalized patients: An overlooked diagnosis

Kassem Harris et al. World J Gastrointest Surg. .

Abstract

Gastroduodenal artery (GDA) aneurysm rupture is a rare serious condition. The diagnosis requires a high level of suspicion with specific attention to warning signs. Early diagnosis can prevent fatal outcomes. In this report, we describe a case of GDA aneurysm rupture presenting as recurrent syncope and atypical back and abdominal discomfort. The rupture manifested as hemorrhagic shock. The diagnosis was made by computed tomography of the abdomen which showed acute peritoneal and retroperitoneal bleeding. Angiographic intervention failed to coil the GDA and surgery with arterial ligation was the definitive treatment.

Keywords: Gastroduodenal, Hemorrhage, Life-threatening, Embolization, Surgery.

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Figures

Figure 1
Figure 1
Computed tomography showing acute peritoneal hemorrhage. Fluid is prominent surrounding the second and third portions of the duodenum and pancreatic head, and perihepatic regions.
Figure 2
Figure 2
Abdominal contrast enhanced computed tomography showing retroperitoneal aneurysm which is suspected to be arising from the gastroduodenal artery or one of its branches (arrow). Aneurysm measures 3.1 cm × 2.5 cm.
Figure 3
Figure 3
Abdominal angiography, selective superior mesenteric artery angiography showing the gastroduodenal artery aneurysm (arrow).
Figure 4
Figure 4
Post embolization angiography (arrow) showing no residual filling of the gastroduodenal artery aneurysm.
See this image and copyright information in PMC

References

    1. Røkke O, Søndenaa K, Amundsen S, Bjerke-Larssen T, Jensen D. The diagnosis and management of splanchnic artery aneurysms. Scand J Gastroenterol. 1996;31:737–743. - PubMed
    1. Deterling RA Jr. Aneurysm of the visceral arteries. J Cardiovasc Surg (Torino) 1971;12:309–322. - PubMed
    1. Carr SC, Mahvi DM, Hoch JR, Archer CW, Turnipseed WD. Visceral artery aneurysm rupture. J Vasc Surg. 2001;33:806–811. - PubMed
    1. Shanley CJ, Shah NL, Messina LM. Uncommon splanchnic artery aneurysms: pancreaticoduodenal, gastroduodenal, superior mesenteric, inferior mesenteric, and colic. Ann Vasc Surg. 1996;10:506–515. - PubMed
    1. Morita Y, Kawamura N, Saito H, Shinohara M, Irie G, Okushiba S, Kato H, Tanabe T, Yonekawa M, Kawamura A. [Diagnosis and embolotherapy of aneurysm of the gastroduodenal artery] Rinsho Hoshasen. 1988;33:555–561. - PubMed