title: Duodenal ulceration into the cystic artery with resultant massive hemorrhage.
abstract: Anterior duodenal ulceration with erosion into the cystic artery is an extremely rare source of upper gastrointestinal hemorrhage. Interventions that have previously been reported include open exploration with cholecystectomy, open exploration while leaving the gallbladder in situ, and angiographic management. We report a case of massive upper gastrointestinal bleeding related to duodenal ulcer penetration of the cystic artery and discuss potential management strategies.
authors.affiliation: Department of Surgery, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA.
authors.forename: Rebecca C
authors.initials: RC
authors.lastname: Britt
authors.forename: Jay N
authors.initials: JN
authors.lastname: Collins
authors.forename: Frederic J
authors.initials: FJ
authors.lastname: Cole
authors.forename: Leonard J
authors.initials: LJ
authors.lastname: Weireter
authors.forename: L D
authors.initials: LD
authors.lastname: Britt
mesh_terms: D000328:Adult; D001158:Arteries; D004381:Duodenal Ulcer / Q000150:complications* / Q000175:diagnosis; D016145:Endoscopy, Digestive System; D005704:Gallbladder / Q000098:blood supply*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male