[Segmental embolization of the gastroduodenal artery in a case of a perforated pseudoaneurysm and gastrointestinal massive bleeding].
We present the history of a woman suffering from an extensive gastrointestinal bleeding due to liver cirrhosis and chronic pancreatitis. Selective angiogram of the celiac artery revealed a pseudoaneurysm of the gastroduodenal artery caused by inflammatory wall penetration. The life-threatening hemorrhage was completely stopped by embolization with three stainless steel coils after microcatheter engagement of the gastroduodenal artery. The particularity of this case is the restricted embolization of the aneurysm vessel segment, so the collateral circulation of the gastroduodenal and pancreaticoduodenal artery could be preserved.
Schmitt
Rainer
R
Institut für Diagnostische Radiologie der Friedrich-Alexander-Universität Nürnberg-Erlangen. schmitt.radiologie@herzchirurgie.de
Cavallaro
Alexander
A
Bautz
Werner
W
D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D004386:Duodenum / Q000098:blood supply* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications; D011859:Radiography; D013270:Stomach / Q000098:blood supply* / Q000000981:diagnostic imaging; D016896:Treatment Outcome