Coil embolization of a ruptured gastroduodenal artery pseudoaneurysm presenting with hemosuccus pancreaticus

Naveed U Saqib; Hunter M Ray; Zain Al Rstum; Joseph J DuBose; Ali Azizzadeh; Hazim J Safi

doi:10.1016/j.jvscit.2019.11.014

Coil embolization of a ruptured gastroduodenal artery pseudoaneurysm presenting with hemosuccus pancreaticus

J Vasc Surg Cases Innov Tech. 2020 Feb 12;6(1):67-70. doi: 10.1016/j.jvscit.2019.11.014. eCollection 2020 Mar.

Authors

Naveed U Saqib¹, Hunter M Ray¹, Zain Al Rstum¹, Joseph J DuBose², Ali Azizzadeh³, Hazim J Safi¹

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Tex.
² R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, Md.
³ Division of Vascular Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.

Abstract

Hemosuccus pancreaticus is a rare form of upper gastrointestinal bleeding that accounts for roughly 1 in 1500 cases. It is characterized by hemorrhage from the ampulla of Vater secondary to rupture of a peripancreatic pseudoaneurysm or visceral artery pseudoaneurysm. Among the visceral artery pseudoaneurysms, gastroduodenal artery pseudoaneurysms are among the rarest. In this case report, we describe a successful coil embolization of a large ruptured gastroduodenal pseudoaneurysm in a patient with massive gastrointestinal bleeding.

Keywords: Hemosuccus pancreaticus; Visceral artery pseudoaneurysms; coil embolization.

Publication types

Case Reports