Tratamento Endovascular de Rotura de Pseudoaneurisma da Artéria Gastroduodenal após Acidente de Viação

Abstract

The authors present a case of a 39-year-old man with alcoholic chronic pancreatitis that was admitted in the emergency department after a car accident, complaining of abdominal pain and looking pale. The patient was hemodinamically unstable, requiring blood transfusions. He underwent computed tomography angiogram of the abdomen and pelvis, showing a pseudoaneurysm of the gastroduodenal artery and a hemoperitoneum. He was referred to our interventional radiology unit and submitted to endovascular treatment, consisting of ‘backdoor’ and ‘frontdoor’ embolization of the gastroduodenal artery and pseudoaneurysm neck with coils, with total exclusion in control angiography. With this case description we intend to highlight the rarity of the pseudoaneurysm rupture of the gastroduodenal artery and to emphasize the importance of an interventional radiology response that had a fundamental role in the endovascular treatment, in an emergency context.

An Undiagnosed Case of Chronic Pancreatitis With Multiple Visceral Arteries Pseudoaneurysm

“…Digital angiography in one of the aforementioned cases showed a complex pseudoaneurysm, for which stent placement with selective embolization of the afferent branches was performed. The other case presented with a non-complex pseudoaneurysm of the gastroduodenal artery that was successfully treated with coil embolization [14]. Another case involved a 39-year-old patient with alcoholic chronic pancreatitis who presented to the emergency department after a car accident showing a pseudoaneurysm of the gastroduodenal artery.…”