Open AccessTherapeutic angiography for giant bleeding gastro-duodenal artery pseudoaneurysm
Author(s) -
Ram Elazary,
Mahmoud Abu-Gazala,
Avraham Schlager,
Noam Shussman,
Avraham I. Rivkind,
Allan I. Bloom
Publication year - 2010
Publication title -
world journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v16.i13.1670
Subject(s) - medicine , pseudoaneurysm , gastroduodenal artery , embolization , radiology , angiography , etiology , interventional radiology , upper gastrointestinal bleeding , gastrointestinal bleeding , microcoil , gastro , surgery , arterial embolization , aneurysm , artery , endoscopy , electrical engineering , disease , reflux , electromagnetic coil , engineering
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.