[Case of ruptured gastroduodenal arterial pseudoaneurysm with penetration to the duodenum, successfully treated with transcatheter arterial embolization].
A 77-year-old man, who underwent segmental pancreatectomy for intraductal papillary mucinous adenoma in 2001, was referred to our hospital with complaints of hematemesis and melena on January, 2004. Emergency upper gastrointestinal endoscopy showed a pulsating submucosal protrusion in the duodenal bulb, which was identified as a gastroduodenal arterial aneurysm measuring 1.5cm on abdominal CT imaging. Transcatheter arterial embolization of the aneurysm with metallic coils was successfully performed. Periodically repeated endoscopic examination has revealed the coils protruding into the duodenal lumen without any serious complication.
Takai
Atsushi
A
Department of Gastroenterology, Kobe City General Hospital.
Okabe
Yoshihiro
Y
Aoki
Nobuhiro
N
Takada
Mariko
M
Yamamoto
Shuji
S
Kimoto
Naoya
N
Fujita
Mikio
M
Okada
Akihiko
A
Kawanami
Chiharu
C
Takimoto
Yukinobu
Y
Orino
Akio
A
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000628:therapy*; D002404:Catheterization; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D013270:Stomach / Q000098:blood supply*; D016896:Treatment Outcome