title: A rare cause of digestive hemorrhage: an aneurysm of the superior pancreaticoduodenal artery rupturing into the duodenal stump of a Billroth II partial gastrectomy.
abstract: We report herein a case of an iatrogenic superior pancreaticoduodenal arterial aneurysm which ruptured into the duodenal stump of a Billroth II partial gastrectomy. Superselective angiography was used for the diagnosis, and successful embolization performed nonoperatively. A review of the literature revealed both the etiology and site of rupture in this case to be extremely uncommon.
authors.affiliation: Department of Surgery, University of L'Aquila, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Guadagni
authors.forename: G
authors.initials: G
authors.lastname: De Bernardinis
authors.forename: P
authors.initials: P
authors.lastname: Pavone
authors.forename: M
authors.initials: M
authors.lastname: Catarci
authors.forename: A
authors.initials: A
authors.lastname: Agnifili
authors.forename: M
authors.initials: M
authors.lastname: Carboni
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D000792:Angiography; D001158:Arteries; D004386:Duodenum / Q000098:blood supply*; D005743:Gastrectomy; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D012422:Rupture, Spontaneous