Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Oct 6;14(10):e29971.
doi: 10.7759/cureus.29971. eCollection 2022 Oct.

Gastroduodenal Artery Pseudoaneurysm: A Rare Cause of Upper Gastrointestinal Bleeding and Pancreatic Duct Compression

Affiliations
Case Reports

Gastroduodenal Artery Pseudoaneurysm: A Rare Cause of Upper Gastrointestinal Bleeding and Pancreatic Duct Compression

Ahmad S Alam et al. Cureus. .

Abstract

Visceral artery pseudoaneurysm as a cause of upper gastrointestinal bleeding is a rare occurrence. These pseudoaneurysms occur most commonly in the splenic artery but have been reported in the gastroduodenal artery as well, albeit with a high mortality rate in cases of rupture. We present a case of a gastroduodenal pseudoaneurysm presenting with upper gastrointestinal bleeding and causing a mass effect on the pancreatic duct as well.

Keywords: acute gastrointestinal bleed; angioembolization; complications of pancreatitis; gastroduodenal artery; visceral artery pseudoaneurysms.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computed tomography showing axial (A) and coronal (B) images of gastroduodenal artery pseudoaneurysm measuring 84×99×76 mm.
Figure 2
Figure 2. Computed tomography showing an axial image of gastroduodenal artery pseudoaneurysm causing pancreatic duct obstruction.
Figure 3
Figure 3. Angiographic images showing pseudoaneurysm of gastroduodenal artery (A) and completion angiography showing successful coiling of pseudoaneurysm with preserved collateral flow (B).

References

    1. Interventional radiology in the management of visceral artery pseudoaneurysms: a review of techniques and embolic materials. Madhusudhan KS, Venkatesh HA, Gamanagatti S, Garg P, Srivastava DN. https://doi.org/10.3348/kjr.2016.17.3.351. Korean J Radiol. 2016;17:351–363. - PMC - PubMed
    1. Review of visceral aneurysms and pseudoaneurysms. Lu M, Weiss C, Fishman EK, Johnson PT, Verde F. J Comput Assist Tomogr. 2015;39:1–6. - PubMed
    1. Management and outcome of hemorrhage due to arterial pseudoaneurysms in pancreatitis. Bergert H, Hinterseher I, Kersting S, Leonhardt J, Bloomenthal A, Saeger HD. Surgery. 2005;137:323–328. - PubMed
    1. Endoscopic ultrasound guided thrombin injection of angiographically occult pancreatitis associated visceral artery pseudoaneurysms: case series. Gamanagatti S, Thingujam U, Garg P, Nongthombam S, Dash NR. https://doi.org/10.4253/wjge.v7.i13.1107. World J Gastrointest Endosc. 2015;7:1107–1113. - PMC - PubMed
    1. Uncommon splanchnic artery aneurysms: pancreaticoduodenal, gastroduodenal, superior mesenteric, inferior mesenteric, and colic. Shanley CJ, Shah NL, Messina LM. Ann Vasc Surg. 1996;10:506–515. - PubMed

Publication types

LinkOut - more resources