Gastroduodenal artery pseudoaneurysm associated with hemosuccus pancreaticus and obstructive jaundice.
A 42-year-old male was admitted with recurrent gastrointestinal bleeding and new-onset jaundice. Computed tomography showed a persistent gastroduodenal artery pseudoaneurysm and dilated intrahepatic and extrahepatic ducts consistent with obstructive jaundice. This patient had two previous coil embolizations, which failed to prevent recurrent bleeding. The patient underwent pancreaticoduodenectomy for definitive treatment of his pseudoaneurysm. We report this case and review the literature.
Bohl
Jaime L
JL
Department of Surgery, Vanderbilt University, Nashville, TN 37232-6860, USA.
Dossett
Lesly A
LA
Grau
Ana M
AM
D000328:Adult; D017541:Aneurysm, False / Q000150:complications*; D017734:Bile Ducts, Extrahepatic / Q000473:pathology; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D004108:Dilatation, Pathologic; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D041781:Jaundice, Obstructive / Q000150:complications*; D008297:Male; D010183:Pancreatic Ducts; D016577:Pancreaticoduodenectomy; D012008:Recurrence; D013270:Stomach / Q000098:blood supply*