Bile duct obstruction secondary to a pseudoaneurysm of the gastroduodenal artery. An unusual presentation

Deza, Diego Casas; Delso, Jesús Gotor; Ruiz, Marta Gascón; Monterde, Vanesa Bernal; Ayllón, C. Jimeno; Ruiz, Marta Gracia; Toledo, Luis Sarria Octavia de; Peña, Joaquín Medrano

doi:10.1016/j.gastre.2018.07.009

Cited by 1 publication

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When a GDA pseudoaneurysm is unruptured, common presentations are abdominal pain, nausea, and vomiting resulting from compression of gastrointestinal tract, as in our case. Moreover, due to the proximity between GDA and the bile duct, a GDA pseudoaneurysm or its associated hematoma can also compress the bile duct and result in obstructive jaundice ( 20 – 22 ). There is even a case of duodenal necrosis from compression by a GDA pseudoaneurysm ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review

et al. 2023

View full text Add to dashboard Cite

Visceral artery pseudoaneurysm is a rare disease that most commonly occurs in male patients in their 50s, with gastroduodenal artery (GDA) pseudoaneurysm accounting for only 1.5% of these. The treatment options generally include open surgery and endovascular treatment. In 40 cases of GDA pseudoaneurysm from 2001 to 2022, endovascular therapy was the mainstay of treatment in 30 cases, and most of them (77%) were treated by coil embolization. Our case report describes a 76-year-old female patient with a GDA pseudoaneurysm, which was treated by endovascular embolization using liquid embolic agent N-butyl-2-cyanoacrylate (NBCA) alone. This is the first time this treatment strategy has been used for GDA pseudoaneurysm. We demonstrate a successful outcome with this unique treatment. The successful experience of our case may provide a new treatment strategy for this rare disease.

show abstract

Section: Discussionmentioning

confidence: 99%