Gastroduodenal artery pseudo-aneurysm after cholecystectomy.
We report the case of a 69-year-old man presenting with rupture of a pseudo-aneurysm of the gastroduodenal artery into the duodenum eight days after open cholecystectomy for acute cholecystitis. The surgical approach to a ruptured visceral artery pseudo-aneurysm is technically difficult and hazardous. The operative mortality rate reaches 16 to 50%, mainly dependent on the anatomic location of the visceral artery pseudo-aneurysm. This report describes a case in which bleeding from a pseudo-aneurysm of the gastroduodenal artery was successfully treated by embolisation using metal coils.
Lo bue
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Department of Visceral Surgery (6eme DES), CHU Sart Tilman, Liege, Belgium.
Denoel
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D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography / Q000379:methods; D002763:Cholecystectomy / Q000009:adverse effects*; D041881:Cholecystitis, Acute / Q000601:surgery; D004386:Duodenum / Q000098:blood supply; D004621:Embolization, Therapeutic / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D006499:Hepatic Artery; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D016896:Treatment Outcome