Article Sidebar

PDF
Date Published: 30/09/2023
Online Published: 30/09/2023
Abstract Views: 214
Views PDF: 327
DOI: https://doi.org/10.58490/ctump.2023i64.1889
Issue
No. 64 (2023)
Section
Article
How to Cite
Phan, V. B., Vo, X. S., Nguyen, N. H., & Pham, N. S. (2023). ENDOVASCULAR EMBOLISATION IN TREATMENT OF UPPER GASTROINTESTINAL BLEEDING DUE TO LARGE DUODENAL ULCER COMPLICATED BY RUPTURED PSEUDOANEURYSM OF GASTRODUODENAL ARTERY. Cantho Journal of Medicine and Pharmacy, 64, 236-241. https://doi.org/10.58490/ctump.2023i64.1889

ENDOVASCULAR EMBOLISATION IN TREATMENT OF UPPER GASTROINTESTINAL BLEEDING DUE TO LARGE DUODENAL ULCER COMPLICATED BY RUPTURED PSEUDOANEURYSM OF GASTRODUODENAL ARTERY

Van Bac Phan1,, Xuan Sang Vo1, Ngoc Huy Nguyen1, Ngoc Son Pham1
1 Hoan My Sai Gon Hospital

Main Article Content

Abstract

Rupture of gastroduodenal artery pseudoaneurysm is an unusual cause of upper gastrointestinal bleeding and it has a high mortality rate up to 21%. Although upper gastrointestinal endoscopy is a mainstay, the intervention using this method in such cases is not always effective. We present a life-threatening case of upper gastrointestinal bleeding in a 72year-old woman, with a large ulcer in the anterior aspect of the duodenal bulb, refractory to endoscopic hemostasis therapy. A gastroduodenal artery pseudoaneurysm adjacent to the ulcer was discovered by computed tomography angiography and successfully managed by endovascular embolization using coils with NCBA. 

Article Details

Keywords

Pseudoaneurysm, gastroduodenal artery, endovascular therapy

References

1. M.S. Shawky, J. Tan, and R. French, Gastroduodenal artery aneurysm: a case report and concise review of literature. Annals of Vascular Diseases, 2015: p. cr. 15-00086. doi: 10.3400/avd.cr.15-00086
2. N. Habib, S. Hassan, R. Abdou, E. Torbey, H. Alkaied, et al., Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a concise review. Annals of Surgical Innovation, 2013. 7(1): p. 1-6. doi: 10.1186/1750-1164-7-4
3. I.M. Gralnek, A.J. Stanley, A.J. Morris, M. Camus, J. Lau, et al., Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline–Update 2021. Endoscopy, 2021. 53(03): p.
300-332. doi: 10.1055/a-1369-5274
4. M.-S. Sun, H.-P. Wang, and J.-T. Lin, Gastroduodental artery aneurysm mimicking a bleeding submucosal tumor. Gastrointestinal Endoscopy, 2001. 54(5): p. 621. doi: 10.1067/mge.2001.118137
5. N. Tulsyan, V.S. Kashyap, R.K. Greenberg, T.P. Sarac, D.G. Clair, et al., The endovascular management of visceral artery aneurysms and pseudoaneurysms. Journal of vascular surgery, 2007. 45(2): p. 276-283. doi: 10.1016/j.jvs.2006.10.049
6. T.A. Jaffe, R.C. Nelson, G.A. Johnson, E.R. Lee, T.T. Yoshizumi, et al., Optimization of multiplanar reformations from isotropic data sets acquired with 16-detector row helical CT scanner. Radiology-Radiological Society of North America, 2006. 238(1): p. 292-299. doi: 10.1148/radiol.2381050404
7. F. Pilleul and O. Beuf, Diagnosis of splanchnic artery aneurysms and pseudoaneurysms, with special reference to contrast enhanced 3D magnetic resonance angiography: a review. Acta radiologica, 2004. 45(7): p. 702-708. doi: 10.1080/02841850410001358
8. C. Perez, J. Llauger, Y. Pallardo, E. Sanchis, and J. Sabate, Radiologic diagnosis of pseudoaneurysms complicating pancreatitis. European journal of radiology, 1993. 16(2): p. 102-106. doi: 10.1016/0720-048X(93)90005-8
9. C.T. Sofocleous, C.R. Hinrichs, B. Hubbi, S. Doddakashi, P. Bahramipour, et al., Embolization of isolated lumbar artery injuries in trauma patients. Cardiovascular interventional radiology, 2005. 28(6): p. 730-735. doi: 10.1007/s00270-003-0117-7
10. J.I. Bilbao, A. Martínez-Cuesta, F. Urtasun, and O. Cosín. Complications of embolization. in Seminars in Interventional Radiology. 2006. Copyright© 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue. doi: 10.1055/s-2006-941443