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CHIRURGIA

A Journal on Surgery


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Chirurgia 2011 February;24(1):25-8

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Rupture of traumatic gastroduodenal artery pseudoaneurysm: case report

Sen-Oran E. 1, Soybir G. 1, Mecit N. 1, Yilmaz O. 2, Numan F. 3, Sönmez B. 2, Bulut T. 1

1 Unit of General Surgery, Memorial Hospital, Istanbul, Turkey 2 Unit of Cardiovascular Surgery, Memorial Hospital, Istanbul, Turkey 3 Unit of Interventional Radiology, Memorial Hospital, Istanbul, Turkey


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Splanchnic artery aneurysms account for 0.1-0.2% of all vascular aneurysms. Gastroduodenal artery aneurysms represent 1.5% of them and usually occur secondary to inflammatory disorder of surrounding tissues such as pancreatitis. In this report, a patient with abdominal pain of sudden onset 15 days following blunt abdominal trauma was presented. He was referred to our hospital with the presumed diagnosis of ruptured pseudoaneurysm. Since pseudoaneurysm could not be detected during the abdominal angiography, no endovascular intervention was performed and a laparotomy was decided. At the exploration of pseudoaneurysm which ruptured within the abdomen following retroperitoneum, gastroduodenal artery was found as the source of pseudoaneurysm and bleeding was controled by vascular clips. Owing to the high rupture rate of gastroduodenal artery pseudoaneurysms, they should be immediately treated via endovascular or surgical means.

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