Aneurysm of the Gastroduodenal Artery Presenting as a Bleeding Duodenal Ulcer

2006 ◽  
Vol 4 (10) ◽  
pp. A28 ◽  
Author(s):  
Corwyn Rowsell ◽  
Terrence L. Moore ◽  
Catherine J. Streutker
Keyword(s):  
Duodenal Ulcer ◽  
Gastroduodenal Artery ◽  
Bleeding Duodenal Ulcer

Iatrogenic injury of duodenum: malady of a therapeutic misadventure

2021 ◽  
Vol 14 (4) ◽  
pp. e242294
Author(s):  
Swastik Mishra ◽  
Pankaj Kumar ◽  
Prakash Kumar Sasmal ◽  
Tushar Subhadarshan Mishra
Keyword(s):  
Duodenal Ulcer ◽  
Postoperative Complications ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Gastroduodenal Artery ◽  
Duodenal Stump ◽  
Duodenal Injury ◽  
Acute Bleeding ◽  
Endoscopic Procedures ◽  
Bleeding Duodenal Ulcer

Endoscopic procedures are the front-runner of the management of bleeding duodenal ulcer. Rarely, surgical intervention is sought for acute bleeding, not amenable to endoscopic procedures. Oversewing of the gastroduodenal artery at ulcer crater by transduodenal approach is the most acceptable and recommended method of treatment. We describe a case of an intraoperative duodenal injury that occurred during an attempt to oversew the gastroduodenal artery after a duodenotomy, leading to an unsatisfactory and meagre duodenal stump. This case will highlight the intraoperative turmoil, postoperative complications and management of a series of anticipated but unfortunate events that have rendered us wiser in terms of surgical management of a bleeding duodenal ulcer.

Choice of emergency operative procedure for bleeding duodenal ulcer

1991 ◽  
Vol 78 (5) ◽  
pp. 633-634 ◽  
Author(s):  
M. Schein ◽  
P. S. Hunt ◽  
R. McIntyre
Keyword(s):  
Duodenal Ulcer ◽  
Operative Procedure ◽  
Bleeding Duodenal Ulcer

Five-Year Follow-up Study of Patients with Bleeding Duodenal Ulcer with and without Surgery

1958 ◽  
Vol 259 (5) ◽  
pp. 201-207 ◽  
Author(s):  
Robert M. Donaldson ◽  
Juanita Handy ◽  
Solomon Papper
Keyword(s):  
Duodenal Ulcer ◽  
Follow Up Study ◽  
Bleeding Duodenal Ulcer

scholarly journals Pseudoaneurysm of gastroduodenal artery due to duodenal ulcer causing jaundice and interstitial pancreatitis but not gastrointestinal bleeding

2004 ◽  
Vol 132 (3-4) ◽  
pp. 108-111 ◽  
Author(s):  
Miodrag Jovanovic ◽  
Radoje Colovic ◽  
Nikica Grubor ◽  
Mirjana Perisic ◽  
Vladimir Radak
Keyword(s):  
Duodenal Ulcer ◽  
Gastrointestinal Bleeding ◽  
Heavy Drinking ◽  
Gastroduodenal Artery ◽  
Operative Trauma ◽  
Billroth Ii Gastrectomy ◽  
Successful Recovery ◽  
Pseudo Aneurysm ◽  
Alcohol Consumer ◽  
Postbulbar Duodenal Ulcer

Aneurysms and pseudoaneurysms of the gastroduodenal artery are rare with less then 50 cases reported. Most frequently they are one of the consequences of pancreatitis much rarer duodenal ulcer or operative trauma during gastrectomy for duodenal ulcer or choledochotomy. We report on a 47 year-old man, chronic heavy alcohol consumer in whom a chronic postbulbar duodenal ulcer destroyed much of the back wall of the duodenum, eroded gastroduodenal artery causing pseudo-aneurysm but without noticeable gastrointestinal bleeding. The patient had jaundice of obstructive type and elevated amilase. After Billroth II gastrectomy, suture of the gastroduodenal artery, cholecystectomy and T tube drainage of the common bile duct the patient developed intestinal obstruction caused by two interintestinal abscesses so that he had to be reoperated. After that he had a successful recovery, his general health greatly improved, he gained 15 kg in weight but two years after surgery he again started with heavy drinking and soon died due to serious brain damage. The case is rare and unusual at least for few reasons: First, the pseudoaneurysm was caused by duodenal ulcer. Second, a serious gastrointestinal bleeding did not take place. Third, the pseudoaneurysm was diagnosed by Doppler ultrasonography while angiography failed to opacity it due to thrombosis of the artery.

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