Gastroduodenal artery pseudo-aneurysm after cholecystectomy

We report the case of a 69-year-old man presenting with rupture of a pseudo-aneurysm of the gastroduodenal artery into the duodenum eight days after open cholecystectomy for acute cholecystitis. The surgical approach to a ruptured visceral artery pseudo-aneurysm is technically difficult and hazardou...

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Bibliographic Details
Published in:Acta chirurgica belgica 2003-08, Vol.103 (4), p.416-419
Main Authors: Lo bue, S, Denoel, A
Format: Article
Language:English
Subjects:
Aged
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - therapy
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - therapy
Angiography - methods
Cholecystectomy - adverse effects
Cholecystitis, Acute - surgery
Duodenum - blood supply
Embolization, Therapeutic - methods
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - therapy
Hepatic Artery
Humans
Male
Rupture, Spontaneous
Treatment Outcome
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Summary:We report the case of a 69-year-old man presenting with rupture of a pseudo-aneurysm of the gastroduodenal artery into the duodenum eight days after open cholecystectomy for acute cholecystitis. The surgical approach to a ruptured visceral artery pseudo-aneurysm is technically difficult and hazardous. The operative mortality rate reaches 16 to 50%, mainly dependent on the anatomic location of the visceral artery pseudo-aneurysm. This report describes a case in which bleeding from a pseudo-aneurysm of the gastroduodenal artery was successfully treated by embolisation using metal coils.
ISSN:0001-5458
DOI:10.1080/00015458.2003.11679457