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

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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. 

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References

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