Endovascular Salvage for Contained Rupture of Gastroduodenal Artery Aneurysm Presented with Obstructive Jaundice

Yen, Yu-Tong; Lai, Hsin-Wen; Lin, Chia‐Hsun

doi:10.1016/j.avsg.2014.12.040

Cited by 10 publications

(9 citation statements)

References 14 publications

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“… 8 , 10 Two other cases have reported utilization of ERCP with sphincterotomy and/or biliary stenting as adjuncts in the management of the VAA. 11 , 12 The addition of biliary interventions leads to a more rapid resolution of obstruction and liver injury. The management of any GDA aneurysm should continue to be individualized based on clinical presentation and resources available within an institution.…”

Section: Discussionmentioning

confidence: 99%

Successful Minimally Invasive Management of a Gastroduodenal Artery Pseudoaneurysm Causing Extrinsic Bile Duct Compression

et al. 2021

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Gastroduodenal artery (GDA) pseudoaneurysms are rare clinical entities that typically develop in the setting of chronic inflammation of the pancreas, although idiopathic pseudoaneurysms can occur. Although GDA pseudoaneurysms carry the risk of rupture with resultant hemorrhage, they seldom are reported to cause biliary obstruction. We report a unique case of biliary obstruction secondary to extrinsic compression of the bile duct by a GDA pseudoaneurysm successfully managed by nonoperative means.

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Section: Discussionmentioning

confidence: 99%

Successful Minimally Invasive Management of a Gastroduodenal Artery Pseudoaneurysm Causing Extrinsic Bile Duct Compression

et al. 2021

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“…on GDA aneurysms, abdominal pain was the most common presentation, followed by aneurysm bleeding. Hypotension was associated with more than half of the cases presenting with aneurysm bleeding 29 . In contrast, Habib et al .…”

Section: Discussionmentioning

confidence: 91%

“…Hypotension was associated with more than half of the cases presenting with aneurysm bleeding. 29 In contrast, Habib et al demonstrated that GIB secondary to ruptured GDA aneurysm is the most common clinical presentation, followed by abdominal pain, GOO, hemobilia, and hemosuccus pancreaticus. 30 Three patients had rebleed following endoscopic control of post-EPT bleeds.…”

Section: Figurementioning

confidence: 94%

Aneurysms of pancreaticoduodenal arcade: Clinical profile and endovascular strategies

et al. 2020

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Background and Aim: Pancreaticoduodenal arcade aneurysms (PDAAs) are uncommon lesions associated with a significant risk of rupture and mortality. This study describes the etiology, clinical presentation, and endovascular management strategies of PDAAs across a spectrum of indications. Methods: The clinical records of patients with PDAAs referred for endovascular management from January 2018 till November 2019 were retrospectively reviewed. Data on presenting symptoms, associated etiologies, and outcomes after endovascular treatment were collected and studied. Results: We found 15 patients with false and 1 patient with true aneurysm of pancreatoduodenal arcade (PDA). The associated conditions were coeliac artery stenosis, severe necrotizing pancreatitis, and chronic pancreatitis or iatrogenic (postendoscopic papillotomy and percutaneous metallic biliary stenting). The main presenting feature was gastrointestinal bleed, while 2 patients had abdominal pain and 1 had gastric outlet obstruction. A multiphase computed tomography scan demonstrated the ruptured aneurysm in all patients. Site of origin of PDAA influenced the choice of transarterial endovascular strategy (coiling for aneurysms of main trunk of arteries and glue injection for those arising from small arterial branches). This was carried out in an emergency setting for 12 patients and as an elective procedure in 4 patients. Technical success was demonstrated in all patients and clinical success in 14. The two patients who had rebleed were salvaged by repeat endovascular procedure. Postembolization syndrome was seen in three patients. Conclusions: With advancing technology, endovascular strategies continue to evolve. Careful attention to ensure hemodynamic resuscitation and stability, correction of preexisting coagulopathy and attention to technique can lead to the possibility of endovascular approaches as a dependable option in the management of ruptured PDAAs.

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“…Common symptoms of HP include abdominal pain (52%, usually upper abdominal pain) and gastrointestinal bleeding symptoms (46%, melena, hematochezia, and hematemesis)[ 15 ]. Other possible clinical signs include hyperamylasemia[ 16 ], jaundice[ 17 ], nausea, vomiting, anorexia, weight loss, and a palpable upper abdominal pulsating mass[ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Hemosuccus pancreaticus caused by gastroduodenal artery pseudoaneurysm associated with chronic pancreatitis: A case report and review of literature

Cui¹,

Jiang²,

Dong³

et al. 2021

WJCC

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Endovascular Salvage for Contained Rupture of Gastroduodenal Artery Aneurysm Presented with Obstructive Jaundice

Cited by 10 publications

References 14 publications

Successful Minimally Invasive Management of a Gastroduodenal Artery Pseudoaneurysm Causing Extrinsic Bile Duct Compression

Successful Minimally Invasive Management of a Gastroduodenal Artery Pseudoaneurysm Causing Extrinsic Bile Duct Compression

Aneurysms of pancreaticoduodenal arcade: Clinical profile and endovascular strategies

Hemosuccus pancreaticus caused by gastroduodenal artery pseudoaneurysm associated with chronic pancreatitis: A case report and review of literature

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