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Case Reports
. 2025 Jul 12;17(7):e87799.
doi: 10.7759/cureus.87799. eCollection 2025 Jul.

Gastroduodenal Artery Pseudoaneurysm Causing Upper Gastrointestinal Bleeding

Nadine Abul-Khoudoud  1 , Jack Ludwig  1 , Ravi Patel  1 , Kulveer Dabb  2 , Joseph F Staffetti  2
Affiliations
Case Reports

Gastroduodenal Artery Pseudoaneurysm Causing Upper Gastrointestinal Bleeding

Nadine Abul-Khoudoud et al. Cureus. .

Abstract

Gastroduodenal artery pseudoaneurysms (GDAPs) are a rare but potentially life-threatening condition characterized by the formation of a blood-filled sac secondary to disruption of the arterial wall, frequently resulting from trauma, pancreatitis, or ulceration. We present the case of a 73-year-old female diagnosed with a GDAP of unknown etiology. Management included collaboration with the interventional radiology team for angiography and coil embolization. This case highlights the importance of early recognition and multidisciplinary management, including imaging, endovascular intervention, and surgical consideration.

Keywords: artery; bleed; egd; embolization; gastroduodenal; gastrointestinal; microcoil; non-steroidal anti-inflammatory drug; pseudoaneurysm.

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Conflict of interest statement

Human subjects: Informed consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. CTA (computed tomography angiogram) of abdomen and pelvis with extravasation from a branch of the celiac artery into a cystic space, found to be a large gastroduodenal artery pseudoaneurysm.
Figure 2
Figure 2. Aortography revealing the gastroduodenal artery pseudoaneurysm, measuring 6.7 x 4.7 x 4.8 cm.
Figure 3
Figure 3. Aortography of the gastroduodenal pseudoaneurysm after microcoil embolization by interventional radiology.
See this image and copyright information in PMC

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