title: Gastroduodenal artery aneurysm - A rare complication of traumatic pancreatic injury.
abstract: Aneurysm of gastroduodenal artery (GDA) is rare. Most reported cases are due to pancreatitis and atherosclerosis; however, those following pancreatic trauma have not been reported. We encoun- tered GDA aneurysm in a patient of blunt abdominal trauma, who had pancreatic contusion and retroduodenal air on contrast enhanced computed tomography of abdomen. Emergency laparotomy for suspected duodenal injury revealed duodenal wall and pancreatic head contusion, mild hemo- peritoneum and no evidence of duodenal perforation. In the postoperative period, the patient developed upper gastrointestinal hemorrhage on day 5. Repeat imaging revealed GDA aneurysm, which was managed successfully by angioembolization. This case highlights, one, delayed presen- tation of GDA aneurysm after blunt pancreatic trauma and two, its successful management using endovascular technique.
authors.affiliation: Division of Trauma Surgery & Critical Care, JPN Apex Trauma Center, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Annu
authors.initials: A
authors.lastname: Babu
authors.forename: Amulya
authors.initials: A
authors.lastname: Rattan
authors.forename: Maneesh
authors.initials: M
authors.lastname: Singhal
authors.forename: Amit
authors.initials: A
authors.lastname: Gupta
authors.forename: Subodh
authors.initials: S
authors.lastname: Kumar
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D000783:Aneurysm / Q000209:etiology*; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D010179:Pancreas / Q000293:injuries*; D013270:Stomach / Q000098:blood supply*; D014949:Wounds, Nonpenetrating / Q000150:complications*