title: [Case of ruptured gastroduodenal arterial pseudoaneurysm with penetration to the duodenum, successfully treated with transcatheter arterial embolization].
abstract: 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.
authors.affiliation: Department of Gastroenterology, Kobe City General Hospital.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takai
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Okabe
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Aoki
authors.forename: Mariko
authors.initials: M
authors.lastname: Takada
authors.forename: Shuji
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Naoya
authors.initials: N
authors.lastname: Kimoto
authors.forename: Mikio
authors.initials: M
authors.lastname: Fujita
authors.forename: Akihiko
authors.initials: A
authors.lastname: Okada
authors.forename: Chiharu
authors.initials: C
authors.lastname: Kawanami
authors.forename: Yukinobu
authors.initials: Y
authors.lastname: Takimoto
authors.forename: Akio
authors.initials: A
authors.lastname: Orino
mesh_terms: 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