title: Successful coil embolization of a ruptured gastroduodenal artery aneurysm.
abstract: Aneurysms of the gastroduodenal artery are rare. Reported here is the case of a 60-year-old woman suffering from the covered rupturing of a twin aneurysm of the gastroduodenal artery. The patient presented herself in the surgical emergency unit with abdominal discomfort. Diagnostics showed free fluid in the abdominal cavity together with anemia of 9.9 g/dL. A computed tomography scan and an angiography revealed the covered rupturing of a twin aneurysm of the gastroduodenal artery, which was treated by endovascular coiling of the gastroduodenal and pancreaticoduodenal arteries. The patient's hemoglobin level remained stable after treatment, and she was released from the hospital after 18 days. Visceral artery aneurysms are rare. Although endovascular therapy is preferred in cases involving active bleeding, surgery remains the primary therapy in those cases in which bleeding becomes uncontrollable.
authors.affiliation: University Hospital for General, Visceral and Transplant Surgery, Tuebingen, Germany. markus.kueper@med.uni-tuebingen.de
authors.forename: Markus Alexander
authors.initials: MA
authors.lastname: Kueper
authors.forename: Burkhard
authors.initials: B
authors.lastname: Ludescher
authors.forename: Ingmar
authors.initials: I
authors.lastname: Koenigsrainer
authors.forename: Andreas
authors.initials: A
authors.lastname: Kirschniak
authors.forename: Kasimir
authors.initials: K
authors.lastname: Mueller
authors.forename: Jakub
authors.initials: J
authors.lastname: Wiskirchen
authors.forename: Alfred
authors.initials: A
authors.lastname: Koenigsrainer
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D015641:Radiography, Interventional; D013270:Stomach / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome