[Rupture of a gastroduodenal artery aneurysm caused by duodenal ulcer: a case report]

Nihon Shokakibyo Gakkai Zasshi. 2015 Oct;112(10):1830-5. doi: 10.11405/nisshoshi.112.1830.
[Article in Japanese]

Abstract

A 73-year-old man with a history of tarry stools was admitted to our hospital. Gastroduodenoscopy on admission revealed an ulcer with an exposed vessel at the duodenal bulb. During endoscopic clipping for prevention of re-bleeding, a large amount of bleeding from the vessel was observed. Hemostasis was achieved after the procedure. However, 7 days later, the patient passed a large amount of tarry stools and experienced hypovolemic shock. Endoscopic re-examination revealed a pulsatile aneurysmal vessel at the base of the duodenal ulcer. Abdominal contrast-enhanced computed tomography and abdominal angiography demonstrated an aneurysm of the gastroduodenal artery, which was successfully treated with transcatheter arterial embolization. Thus, here we report a rare case of an aneurysm of the gastroduodenal artery caused by a duodenal ulcer.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Aneurysm, Ruptured / etiology*
  • Aneurysm, Ruptured / therapy
  • Angiography
  • Arteries / pathology*
  • Duodenal Ulcer / complications*
  • Duodenal Ulcer / therapy
  • Duodenoscopy
  • Duodenum / blood supply*
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / therapy
  • Humans
  • Male
  • Stomach / blood supply*