Gastroduodenal artery aneurysm rupture in hospitalized patients: An overlooked diagnosis

Abstract

Gastroduodenal artery (GDA) aneurysm rupture is a rare serious condition. The diagnosis requires a high level of suspicion with specific attention to warning signs. Early diagnosis can prevent fatal outcomes. In this report, we describe a case of GDA aneurysm rupture presenting as recurrent syncope and atypical back and abdominal discomfort. The rupture manifested as hemorrhagic shock. The diagnosis was made by computed tomography of the abdomen which showed acute peritoneal and retroperitoneal bleeding. Angiographic intervention failed to coil the GDA and surgery with arterial ligation was the definitive treatment.

Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a concise review

“…These patients present with hematemesis, melena, and hemodynamic shock [21]. Less frequently, patients with GDA can present with retroperitoneal or intra-peritoneal bleeds [19,22-24] with a 19% mortality rate. This could lead to gastric outlet obstruction [22] and other nonspecific symptoms such as vomiting, diarrhea and jaundice secondary to compressive hematoma or external pressure by the aneurysm [19,25,26].…”

Gastroduodenal Artery Aneurysm: A Case Report and Concise Review of Literature

“…2,3) Gastro duodenal artery (GDA) aneurysm is among the rarest VAAs; accounting only for 1.5% of the total, second in its rarity only to inferior mesenteric artery aneurysm. 4) Despite its rarity, it represents an important subcategory of VAAs on account of having up to 75% risk of rupture; 5) with gastrointestinal bleeding being the presenting feature in up to 52% of cases. 6) In this article we add a GDA aneurysm case to the existing literature and briefly discuss its aetiology, pathology, presentation and management.…”

Visceral Arterial Aneurysms Complicating Endoscopic Retrograde Cholangiopancreatography

“…Mortality estimates from a ruptured gastroduodenal artery aneurysm vary greatly depending on the size of aneurysm and site of rupture. An intraperitoneal bleed from gastroduodenal artery aneurysm as seen in our patient has a mortality rate of almost 19% [12, 13]. Gold-standard for the diagnosis of VAA and their rupture is visceral angiography [14].…”