Ruptured mycotic pseudoaneurysm of the gastroduodenal artery presenting with hemoperitoneum and subcapsular liver hematoma

We report a case of a patient with mycotic pseudoaneurysm of the gastroduodenal artery who presented with hemoperitoneum and subcapsular hematoma of the liver. The diagnosis was established with contrasted abdominal CT scanning. Visceral angiography was not needed. Prompt recognition and surgical in...

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Bibliographic Details
Published in:Digestive diseases and sciences 1990-05, Vol.35 (5), p.661-664
Main Authors: ROGERS, D. W, LUMENG, L, GOULET, R. J, CANAL, D. F
Format: Article
Language:English
Subjects:
Aged
Aneurysm, Infected - complications
Aneurysm, Infected - diagnosis
Aneurysm, Infected - surgery
Arteries
Biological and medical sciences
Diagnosis, Differential
Gastroenterology. Liver. Pancreas. Abdomen
Hematoma - complications
Hemoperitoneum - complications
Humans
Liver Diseases - complications
Male
Medical sciences
Other diseases. Semiology
Rupture
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tomography, X-Ray Computed
Viscera - blood supply
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Summary:We report a case of a patient with mycotic pseudoaneurysm of the gastroduodenal artery who presented with hemoperitoneum and subcapsular hematoma of the liver. The diagnosis was established with contrasted abdominal CT scanning. Visceral angiography was not needed. Prompt recognition and surgical intervention led to a favorable outcome. Pseudoaneurysm of visceral vessels is an uncommon disease process, and to our knowledge, this is the first reported case that has presented with free blood in the peritoneal cavity and beneath the liver capsule. This case may also represent a rare complication of therapeutic ERCP procedures. Mycotic aneurysm or pseudoaneurysm of visceral vessels may develop from bacteremia and its dissection or rupture should be suspected in patients presenting with sepsis and abdominal pain.
ISSN:0163-2116
1573-2568
DOI:10.1007/BF01540417