Endovascular Treatment of a Gastroduodenal Artery Pseudoaneurysm Rupture after a Car Accident

Authors

  • Sofia Dutra Serviço de Imagiologia. Hospital do Divino Espírito Santo de Ponta Delgada. Açores. Portugal. Unidade de Radiologia de Intervenção. Centro Hepato-Bilio-Pancreático e de Transplantação. Hospital Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Filipe Veloso Gomes Unidade de Radiologia de Intervenção. Centro Hepato-Bilio-Pancreático e de Transplantação. Hospital Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Tiago Bilhim Unidade de Radiologia de Intervenção. Centro Hepato-Bilio-Pancreático e de Transplantação. Hospital Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal. Departamento de Radiologia. Faculdade de Ciências Médicas. Universidade NOVA de Lisboa. Lisboa. Portugal.
  • Élia Coimbra Unidade de Radiologia de Intervenção. Centro Hepato-Bilio-Pancreático e de Transplantação. Hospital Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

DOI:

https://doi.org/10.20344/amp.8561

Keywords:

Accidents, Traffic, Aneurysm, False, Arteries, Duodenum, Endovascular Procedures, Rupture, Spontaneous, Stomach

Abstract

The authors present a case of a 39-year-old man with alcoholic chronic pancreatitis that was admitted in the emergency department after a car accident, complaining of abdominal pain and looking pale. The patient was hemodinamically unstable, requiring blood transfusions. He underwent computed tomography angiogram of the abdomen and pelvis, showing a pseudoaneurysm of the gastroduodenal artery and a hemoperitoneum. He was referred to our interventional radiology unit and submitted to endovascular treatment, consisting of ‘backdoor’ and ‘frontdoor’ embolization of the gastroduodenal artery and pseudoaneurysm neck with coils, with total exclusion in control angiography. With this case description we intend to highlight the rarity of the pseudoaneurysm rupture of the gastroduodenal artery and to emphasize the importance of an interventional radiology response that had a fundamental role in the endovascular treatment, in an emergency context.

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Published

2017-09-29

How to Cite

1.
Dutra S, Gomes FV, Bilhim T, Coimbra Élia. Endovascular Treatment of a Gastroduodenal Artery Pseudoaneurysm Rupture after a Car Accident. Acta Med Port [Internet]. 2017 Sep. 29 [cited 2024 Nov. 22];30(9):658-61. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/8561

Issue

Section

Case Report