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.

scholarly journals A Challenging Case of a Large Gastroduodenal Artery Pseudoaneurysm after Surgery of a Peptic Ulcer

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Rocio Santos-Rancaño ◽  
Esteban Martín Antona ◽  
José Vicente Méndez Montero
Keyword(s):  
Duodenal Ulcer ◽  
Relevant Literature ◽  
Transcatheter Embolization ◽  
Gastroduodenal Artery ◽  
Peptic Ulcers ◽  
Diagnostic Challenge ◽  
Artery Pseudoaneurysm ◽  
Contrast Enhanced ◽  
Postbulbar Duodenal Ulcer ◽  
Enhanced Computed Tomography

We report a 48-year-old man in whom a chronic postbulbar duodenal ulcer destroyed much of the back wall of the duodenum and gastroduodenal artery causing pseudoaneurysm. The lesion was found and evaluated by contrast-enhanced computed tomography (that revealed a large pseudoaneurysm of 83 mm×75 mm in diameter) and by angiography and then treated with transcatheter embolization leading to a complete resolution of the lesion. The case is rare and important for several reasons. First, we demonstrate that pseudoaneurysm of the gastroduodenal artery caused by a duodenal ulcer can occur and present a diagnostic challenge (as far as we know, only three cases have been reported previously in the literature). Second, this case report focuses on the importance of ligation of the gastroduodenal artery when bleeding of peptic ulcers occurs. Additionally, we present an overview of the relevant literature.

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.

Jejunal Perforation as a Result of Massive Gastrointestinal Bleeding from a Duodenal Ulcer

1984 ◽  
Vol 29 (2) ◽  
pp. 109-110
Author(s):  
J. N. Fox ◽  
J. W. W. Thomson
Keyword(s):  
Duodenal Ulcer ◽  
Small Intestine ◽  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Massive Bleeding ◽  
Spontaneous Perforation ◽  
Massive Gastrointestinal Bleeding ◽  
Upper Gastrointestinal

A complication of massive upper gastrointestinal bleeding is presented as a case report of a patient who developed a spontaneous perforation of the small intestine as a result of massive bleeding from a duodenal ulcer

Duodenal Perforation with Transplant Hepatic Artery Pseudo-Aneurysm: A Rare Case of Massive Gastrointestinal Bleeding

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S1286
Author(s):  
RajaKoteswar Dhanekula ◽  
Kaitlyn Votta ◽  
Adam M. Frank ◽  
Ashesh P. Shah ◽  
David A. Sass
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Rare Case ◽  
Duodenal Perforation ◽  
Massive Gastrointestinal Bleeding ◽  
Pseudo Aneurysm

Laparoscopic Billroth II Gastrectomy for Completely Stricturing Duodenal Ulcer: Technical Details

2003 ◽  
Vol 92 (3) ◽  
pp. 200-202 ◽  
Author(s):  
G. E. Saccomani ◽  
A. Percivale ◽  
M. Stella ◽  
V. Durante ◽  
R. Pellicci
Keyword(s):  
Duodenal Ulcer ◽  
Billroth Ii ◽  
Billroth Ii Gastrectomy ◽  
Technical Details
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