[Case of ruptured gastroduodenal arterial pseudoaneurysm with penetration to the duodenum, successfully treated with transcatheter arterial embolization]

Nihon Shokakibyo Gakkai Zasshi. 2007 Oct;104(10):1498-503.
[Article in Japanese]

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.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Aneurysm, False / diagnosis
  • Aneurysm, False / therapy*
  • Aneurysm, Ruptured / diagnosis
  • Aneurysm, Ruptured / therapy*
  • Catheterization
  • Duodenum / blood supply*
  • Embolization, Therapeutic / methods*
  • Humans
  • Male
  • Stomach / blood supply*
  • Treatment Outcome