Management of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated by Coil Migration
Dennis Chang, Purvi Patel, Seth E. Persky, Joseph Ng, Alan Kaell
Abstract
Rupture of visceral artery aneurysms or visceral artery pseudoaneurysms is an unusual cause of upper gastrointestinal bleeding. Although most visceral artery aneurysms and visceral artery pseudoaneurysms occur in the splenic artery or hepatic artery, they can rarely occur in the gastroduodenal artery. These are at high risk for rupture, with a 40%-70% mortality. We report a case of recurrent upper gastrointestinal bleeding due to gastroduodenal artery pseudoaneurysm despite endoscopic treatment and endovascular embolization complicated by coil migration into the duodenum.
Topics & Concepts
MedicineGastroduodenal arteryDuodenumPseudoaneurysmArterySplenic arteryEmbolizationRadiologyUpper gastrointestinal bleedingSurgeryAneurysmEndoscopyAbdominal vascular conditions and treatmentsGastrointestinal Bleeding Diagnosis and TreatmentVascular Anomalies and Treatments