Therapeutic angiography for giant bleeding gastro-duodenal artery pseudoaneurysm.
We present the case of an 18-year-old female transferred to our center from an outside hospital due to persistent gastrointestinal bleeding. Two weeks prior to her transfer she underwent duodenal omentopexy for a perforated duodenal peptic ulcer. The patient underwent a computed tomography angiogram which identified the source of bleeding as a giant gastro-duodenal artery (GDA) pseudoaneurysm. The patient was taken to interventional radiology where successful microcoil embolization was performed. We present this rare case of a giant GDA pseudoaneurysm together with imaging and a review of the medical literature regarding prevalence, etiology and treatment options for visceral arterial aneurysms.
Elazary
Ram
R
Department of Surgery, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel. ramelazary@hadassah.org.il
Abu-Gazala
Mahmoud
M
Schlager
Avraham
A
Shussman
Noam
N
Rivkind
Avraham I
AI
Bloom
Allan I
AI
D000293:Adolescent; D017541:Aneurysm, False / Q000175:diagnosis* / Q000473:pathology*; D000792:Angiography / Q000379:methods*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis*; D006801:Humans; D010437:Peptic Ulcer / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D012306:Risk; D016896:Treatment Outcome