A rare cause of digestive hemorrhage: an aneurysm of the superior pancreaticoduodenal artery rupturing into the duodenal stump of a Billroth II partial gastrectomy.
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.
Guadagni
S
S
Department of Surgery, University of L'Aquila, Italy.
De Bernardinis
G
G
Pavone
P
P
Catarci
M
M
Agnifili
A
A
Carboni
M
M
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