Ruptured gastroduodenal artery pseudoaneurysm presenting as haematemesis 4 months post lumen‐apposing metallic stent removal

2021 ◽  
Author(s):  
Jeremy W. Abetz ◽  
Dileep Mangira ◽  
Michael K. Ng
Keyword(s):  
Gastroduodenal Artery ◽  
Metallic Stent ◽  
Artery Pseudoaneurysm ◽  
Stent Removal

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

Gastroduodenal artery pseudoaneurysm

2021 ◽  
Vol 44 (4) ◽  
pp. 306-307
Author(s):  
Lara María Ruiz Belmonte ◽  
Enrique Colás-Ruiz ◽  
Carmen María García Caparrós ◽  
María del Mar Vilchez Mira
Keyword(s):  
Gastroduodenal Artery ◽  
Artery Pseudoaneurysm

Gastroduodenal Artery Pseudoaneurysm Secondary to Pancreatic Head Biopsy

2004 ◽  
Vol 23 (7) ◽  
pp. 997-1001 ◽  
Author(s):  
Ryan Young ◽  
Singh Gagandeep ◽  
Edward Grant ◽  
Suzanne Palmer ◽  
Rodrigo Mateo ◽  
...  
Keyword(s):  
Pancreatic Head ◽  
Gastroduodenal Artery ◽  
Artery Pseudoaneurysm

Metallic Stent Removal Via Cryotherapy

2011 ◽  
Author(s):  
Renelle L. Myers ◽  
Sofia Antillon Morales ◽  
Adnan Majid
Keyword(s):  
Metallic Stent ◽  
Stent Removal

scholarly journals Endoscopic ultrasound-guided coil embolization and thrombin injection of a bleeding gastroduodenal artery pseudoaneurysm

Endoscopy ◽  
2018 ◽  
Vol 51 (02) ◽  
pp. E36-E37 ◽  
Author(s):  
Malay Sharma ◽  
Piyush Somani ◽  
Tagore Sunkara ◽  
Ritesh Prajapati ◽  
Rahul Talele
Keyword(s):  
Endoscopic Ultrasound ◽  
Coil Embolization ◽  
Gastroduodenal Artery ◽  
Thrombin Injection ◽  
Ultrasound Guided ◽  
Artery Pseudoaneurysm

scholarly journals Coil embolization of a ruptured gastroduodenal artery pseudoaneurysm presenting with hemosuccus pancreaticus

2020 ◽  
Vol 6 (1) ◽  
pp. 67-70 ◽  
Author(s):  
Naveed U. Saqib ◽  
Hunter M. Ray ◽  
Zain Al Rstum ◽  
Joseph J. DuBose ◽  
Ali Azizzadeh ◽  
...  
Keyword(s):  
Coil Embolization ◽  
Gastroduodenal Artery ◽  
Artery Pseudoaneurysm ◽  
Hemosuccus Pancreaticus

Endotracheal metallic stent removal: A novel ABC (airway balloon collapse) technique

2021 ◽  
Vol 140 ◽  
pp. 110490
Author(s):  
Shelagh A. Cofer ◽  
Joseph N. Badaoui ◽  
R. Paul Boesch ◽  
Karthik Balakrishnan
Keyword(s):  
Metallic Stent ◽  
Stent Removal
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