GASTRODUODENAL ARTERY ANEURYSM - A CLINICAL CASE REPORT, BRIEF LITERATURE REVIEW
DOI:
https://doi.org/10.15547/tjs.2024.01.014Keywords:
gastroduodenal artery aneurysm, visceral aneurysms, endovascular treatment, coil embolization, endoaneurysmorrhaphyAbstract
The aneurysm of the gastroduodenal artery (AGDA) is a rare, but potentially fatal vascular disease. Chronic pancreatitis is considered to be the leading etiological cause. The most common complication is rupture, which is accompanied by extremely high mortality, due to the rapidly occurring massive blood loss.
In such situations, a high index of clinical suspicion, followed by urgent imaging diagnosis and active treatment strategy in case of emergency can prevent a potentially fatal outcome.
In the following paper, we present a case of a successfully treated ruptured aneurysm of the gastroduodenal artery(AGDA), that started with minor gastrointestinal bleeding. Endoscopic hemostasis was attempted, followed by an episode of massive recurrent bleeding, requiring emergency operation.
A brief literature review, related to the diagnosis and treatment of this rare, but fatal complication of AGDA, is also presented.
References
Røkke O, Søndenaa K, Amundsen S, et al. The diagnosis and management of splanchnic artery aneurysms. Scand J Gastroenterol, 31: 737-43, 1996.
Harris K, Chalhoub M, Koirala A. Gastroduodenal artery aneurysm rupture in hospitalized patients: An overlooked diagnosis. World J Gastrointest Surg ,2: 291-4, 2010.
Edogawa S, Shibuya T, Kurose K, et al. Inferior mesenteric artery aneurysm: case report and literature review. Ann Vasc Dis, 6: 98-101, 2013.
Habib N, Hassan S, Abdou R, et al. Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a concise review. Ann Surg Innov Res, 7:4, 2013.
Starlinger F. Aneurysma spurium traumaticum der Art. gastroduodenalis. Zentralbi Chir , 57: 1034-6, 1930.
Shawky M, Tan, J, French R. Annals of Vascular Diseases Vol. 8, No. 4 ,2015.
Kueper MA, Ludescher B, Koenigsrainer I, et al. Successful coil embolization of a ruptured gastroduodenal artery aneurysm. Vasc Endovascular Surg ,41: 568-71, 2007.
Suzuki T, Ishida H, Komatsuda T, et al. Pseudoaneurysm of the gastroduodenal artery ruptured into the superior mesenteric vein in a patient with chronic pancreatitis. J Clin Ultrasound ,31: 278-82, 2003.
Ghasura A, Patel K, Prajapati B, et al. Gastroduodenal artery pseudoaneurysm due to pancreatitis. J of Evolution of Med and Dent Sci ,3: 4036-41, 2014.
Cordova AC, Sumpio BE. Visceral artery aneurysms and pseudoaneurysms—should they all be managed by endo¬vascular techniques?. Ann Vasc Dis ,6: 687-93, 2013.
Petkov D, Endovascular surgery, devices, technologies, possibilities, Kota, Stara Zagora, Buigaria, 2023.
Roach H, Roberts SA, Salter R, et al. Endoscopic ultrasound-guided thrombin injection for the treatment of pancreatic pseudoaneurysm. Endoscopy, 37: 876-8, 2005.
Gamanagatti Sh, Thingujam Us, Garg Pr, Nongthombam Sur, Ranjan Dash Ni. Endoscopic ultrasound guided thrombin injection of angiographically occult pancreatitis associated visceral artery pseudoaneurysms: Case series, World J Gastrointest Endosc, 7(13): 1107–1113, Sep 25, 2015.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Trakia University
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
