False in Name Only-Gastroduodenal Artery Pseudoaneurysm in a Recurrently Bleeding Patient: Case Report and Literature Review

Dig Dis Sci. 2019 Nov;64(11):3086-3091. doi: 10.1007/s10620-019-05853-7.

Abstract

Although the diagnosis of visceral pseudoaneurysm is unusual, it requires emergent attention due to the risk of rupture. We describe a 70-year-old man with a gastroduodenal artery pseudoaneurysm that manifested as recurrent hemorrhage. We highlight the possible etiologies, clinical presentations, diagnostic tools, and treatment options for this condition. In this instance, the patient was successfully treated by selective angioembolization. A visceral pseudoaneurysm should be considered in patients with abdominal pain and GI hemorrhage. At present, angioembolization is a first-line therapy.

Keywords: Angioembolization; Gastroduodenal artery; Pseudoaneurysm; Recurrent bleeding.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging*
  • Aneurysm, False / surgery*
  • Duodenum / blood supply
  • Duodenum / diagnostic imaging
  • Duodenum / surgery
  • Endoscopy, Gastrointestinal / methods
  • Gastric Artery / diagnostic imaging*
  • Gastric Artery / surgery*
  • Gastrointestinal Hemorrhage / diagnostic imaging*
  • Gastrointestinal Hemorrhage / surgery*
  • Humans
  • Male
  • Recurrence