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

Shell, Mark S. La; Reinhart, Evan; Smith, Stephen D.; DeMarris, Darryl; Naumann, Christopher R.

doi:10.14309/crj.0000000000000663

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…When a GDA pseudoaneurysm is unruptured, common presentations are abdominal pain, nausea, and vomiting resulting from compression of gastrointestinal tract, as in our case. Moreover, due to the proximity between GDA and the bile duct, a GDA pseudoaneurysm or its associated hematoma can also compress the bile duct and result in obstructive jaundice ( 20 – 22 ). There is even a case of duodenal necrosis from compression by a GDA pseudoaneurysm ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review

et al. 2023

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Visceral artery pseudoaneurysm is a rare disease that most commonly occurs in male patients in their 50s, with gastroduodenal artery (GDA) pseudoaneurysm accounting for only 1.5% of these. The treatment options generally include open surgery and endovascular treatment. In 40 cases of GDA pseudoaneurysm from 2001 to 2022, endovascular therapy was the mainstay of treatment in 30 cases, and most of them (77%) were treated by coil embolization. Our case report describes a 76-year-old female patient with a GDA pseudoaneurysm, which was treated by endovascular embolization using liquid embolic agent N-butyl-2-cyanoacrylate (NBCA) alone. This is the first time this treatment strategy has been used for GDA pseudoaneurysm. We demonstrate a successful outcome with this unique treatment. The successful experience of our case may provide a new treatment strategy for this rare disease.

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Section: Discussionmentioning

confidence: 99%

Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review

et al. 2023

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“…The management of the acute duodenopancreatic complex bleeding should be carried out through a combination of interventional radiology and surgery, surgical intervention being reserved for cases in which embolization has failed or in unstable patients. [ 26 , 27 ]…”

Section: Discussionmentioning

confidence: 99%

Emergency Pancreatoduodenectomy: A Non-Trauma Center Case Series

Schlanger

Popa

Ciocan

et al. 2022

JCM

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(1) Background: Emergency pancreatoduodenectomy (EPD) is a rare procedure, especially in non-trauma centers. Pancreatoduodenectomy is a challenging intervention, that has even higher risks in emergency settings. However, EPD can be a life-saving procedure in selected cases. (2) Methods: Our study is a single-center prospective consecutive case series, on patients that underwent emergency pancreatoduodenectomies in our surgical department between January 2014 to May 2021. (3) Results: In the 7-year period, 4 cases were operated in emergency settings, out of the 615 patients who underwent PD (0.65%). All patients were male, with ages between 44 and 65. Uncontrollable bleeding was the indication for surgery in 3 cases, while a complex postoperative complication was the reason for surgery in one other case. In three cases, a classical Whipple procedure was performed, and only one case had a pylorus-preserving pancreatoduodenectomy. The in-hospital mortality rate was 25% and the morbidity rate was 50%; the two patients that registered complications also needed reinterventions. The patients who were discharged had a good long-term survival. (4) Conclusion: EPD is a challenging procedure, rare encountered in non-traumatic cases, that can be a life-saving intervention in well-selected cases, offering good long-term survival.

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

Cited by 2 publications

References 12 publications

Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review

Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review

Emergency Pancreatoduodenectomy: A Non-Trauma Center Case Series

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