scholarly journals Ruptured Gastroduodenal Artery Aneurysm Presenting As Upper Gastrointestinal Bleed

2013 ◽  
Vol 5 (5) ◽  
pp. 39-41
Author(s):  
SM Ikhwan SM Ikhwan
2018 ◽  
Vol 09 (03) ◽  
pp. 134-137
Author(s):  
Avinash Bhat Balekuduru ◽  
Abhinav Kumar ◽  
Athish Shetty ◽  
Satyaprakash Bonthala Subbaraj

Hemosuccus pancreaticus (HP) and hemobilia (HB) are uncommon causes of upper gastrointestinal bleed. In this report, 4 cases of HP and 1 case of HB with intermittent bleeding are described. The causes of HP are rupture of splenic artery pseudoaneurysm in 3 and gastroduodenal artery aneurysm in one. The cause of HB is due to cystic artery bleed. HP can be secondary to chronic or acute pancreatitis with bleeding from pseudoaneurysm arising from peripancreatic arteries. Iatrogenic transhepatic techniques, trauma, operative injuries, malignancy, and inflammation in hepatobiliary system are the common causes of HB. All the cases are missed on first endoscopy and diagnosed on second‑look endoscopy. A strong clinical suspicion is required at first endoscopy for early diagnosis and management. This case report compares presentation of HP with HB, diagnosis, and their management.


2021 ◽  
Vol 14 (1) ◽  
pp. e238232
Author(s):  
Ramanan Sinduja ◽  
Chellappa Vijayakumar ◽  
Mahalingam Sudharshan ◽  
Uday Shamrao Kumbhar ◽  
Bharat Manohara Naik ◽  
...  

Acute upper gastrointestinal (UGI) bleeding is one of the most frequent presentations to a surgical emergency. Most of them respond to initial resuscitation, and a definite diagnosis is established as soon as possible, thereby helping the clinician in management. We present the diagnostic challenges that we faced with a 70-year-old man who presented with UGI bleed. He initially responded to resuscitation, but later deteriorated and became haemodynamically unstable. The source of the UGI bleed on evaluation was found to be pseudoaneurysm of the gastroduodenal artery (PsGDA) and treated successfully by coil embolisation. The cause of the PsGDA was diverticulum arising from the first part of duodenum with changes of diverticulitis. Diverticulum originating from the first part of the duodenum is seldom reported. Moreover, diverticulitis involving this part and causing PsGDA has not been reported so far.


2020 ◽  
Vol 7 (5) ◽  
pp. 1655
Author(s):  
Madhukar R. Gupta ◽  
Samridhi Goyal

Gastroduodenal artery (GDA) aneurysm is a rare but potentially fatal vascular disease, with chronic pancreatitis being reported as the commonest etiological factor. Rupture, which is not uncommon, carries a high risk of mortality. The typical patient with palpable epigastric mass, upper gastrointestinal bleeding and pain, may not present in the emergency and the lesion is often picked up incidentally on abdominal ultrasound or a computed tomography. We describe a critical case presenting with lump in abdomen which was found out to be gastroduodenal artery aneurysm on scanning, developing in a patient with recurrent highly active antiretroviral therapy (HAART) induced pancreatitis managed with transfemoral catheter embolization. The patient in question succumbed due to post procedure hepatic failure. The management of aneurysms since historic times have been challenging, the open procedures are being gradually replaced by endovascular techniques, which are yielding better results.


JPGN Reports ◽  
2020 ◽  
Vol 2 (1) ◽  
pp. e034
Author(s):  
Thondi Kandy Kavitha ◽  
Prabhu Madabhavi ◽  
Lalit Takia ◽  
Puspraj Awasthi ◽  
Sreedhara B Chaluvashetty ◽  
...  

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