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False in Name Only—Gastroduodenal Artery Pseudoaneurysm in a Recurrently Bleeding Patient: Case Report and Literature Review

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Abstract

Although the diagnosis of visceral pseudoaneurysm is unusual, it requires emergent attention due to the risk of rupture. We describe a 70-year-old man with a gastroduodenal artery pseudoaneurysm that manifested as recurrent hemorrhage. We highlight the possible etiologies, clinical presentations, diagnostic tools, and treatment options for this condition. In this instance, the patient was successfully treated by selective angioembolization. A visceral pseudoaneurysm should be considered in patients with abdominal pain and GI hemorrhage. At present, angioembolization is a first-line therapy.

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Abbreviations

ALT:

Alanine aminotransferase

AST:

Aspartate aminotransferase

bpm:

beats per minute

C-RP:

C-reactive protein

EGD:

Esophagogastric-duodenal endoscopy

GI:

Gastrointestinal

GDA:

Gastroduodenal artery

Hbg:

Hemoglobin

IV:

Intravenous

NG:

Nasogastric

WBC:

White blood cell count

COPD:

Chronic obstructive pulmonary disease

PLT:

Platelet count

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Author information

Author notes

  1. M. Renzulli and V. Tonini equally contributed as joint senior Authors.

Authors and Affiliations

  1. Emergency Surgery Department, St. Orsola University Hospital, Bologna, Italy

    M. Binetti, A. Lauro, S. Vaccari, M. Cervellera & V. Tonini

  2. Radiology Unit, Department of Experimental, Diagnostic and Speciality Medicine, St. Orsola University Hospital, Bologna, Italy

    R. Golfieri & M. Renzulli

  3. Department of Surgical Sciences, La Sapienza University, Umberto I Hospital, Rome, Italy

    V. D’Andrea

  4. Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    I. R. Marino

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  1. M. Binetti
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  2. A. Lauro
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  3. R. Golfieri
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  4. S. Vaccari
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Correspondence to A. Lauro.

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Binetti, M., Lauro, A., Golfieri, R. et al. False in Name Only—Gastroduodenal Artery Pseudoaneurysm in a Recurrently Bleeding Patient: Case Report and Literature Review. Dig Dis Sci 64, 3086–3091 (2019). https://doi.org/10.1007/s10620-019-05853-7

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