Recurrent Upper gastro-intestinal bleed caused by a pseudo-aneurysm of the gastro-duodenal artery

Authors

  • Pedro P. Costa Interno do Internato complementar de Medicina Interna do Hospital José Joaquim Fernandes S.A., Beja
  • Machado Carvalho Assistente Graduado de Medicina Interna do Hospital José Joaquim Fernandes S.A., Beja
  • Adelaide Belo Chefe de Serviço de Medicina Interna do Hospital José Joaquim Fernandes S.A., Beja
  • Vasco Garcia Chefe de Serviço de Medicina Interna do Hospital José Joaquim Fernandes S.A., Beja
  • Isabel Nobre Assistente Graduado de Medicina Interna do Hospital José Joaquim Fernandes S.A., Beja

Keywords:

recurrent upper gastrointestinal bleeding, angiography, gastroduodenal pseudoaneurym, embolization, chronic pancreatitis

Abstract

The authors describe a case of a young man with a history of
chronic pancreatitis presenting with several episodes of gastrointestinal bleeding with haemodynamic repercussion and
normal endoscopic findings. Imaging revealed the presence of a
vascular malformation of the Coeliac Trunk. After a new episode of
gastrointestinal bleeding the patient was admitted to the hospital
where he was submitted to a selective angiography that showed
a Gastro-duodenal pseudo-aneurysm. The malformation was
embolized successfully and the patient had a positive clinical evolution.

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References

Kasper, Braunwald, Fauci, Hauser, Longo, Jameson; Harrinson Principles of Internal Medicine, 16th edicion; 235-238.

Fireman Z, Eliakim R, Adler S, Scapa E; Capsule endoscopy in real life: a four centre experience of 16 consecutive patients; European Journal of Gastroenterol Hepatology 2004;16(9): 927-931.

Mata A, Bordas JM, Feu F, Gines A, Pellise M, Fernandez E, Balaguer F; Wireless capsule endoscopy in patients with obscure gastrointestinal bleeding: a comparative study with push endoscopy; Aliment Pharmacol. Therapy 2004; 20(2): 189-194.

Pennanzio M. Small-bowel endoscopy. Endoscopy 2004; 36(1):32-41.

Miller FH, Hwang CM, An initial experience: using helical CT imaging to detect obscure gastrointestinal bleeding.; Clinical Imaging 2004;28(4): 245-251.

Levy R, Barto W, Gani J. Retrospective study of the utility of nuclear scintigraphic-labelel red cell scaning for lower gastrointestinal bleeding. ANZ Journal Surg 2003; 73(4):205-209.

Pisco JM, Aires de Sousa L. Noções fundamentais de Imagiologia. 1998;76:749-752.

Gady JS, Reynolds H, Blum A. Selective arterial embolization for control of lower gastrointestinal bleeding: recommendations for a clinical management pathway. Current Surgery 2003;60(3): 344-347.

Eckhauser F E, Stanley J C, Zelenock G B, Borlaza G S; Gastroduodenal and Pancreaticoduodenal artery aneurysms: a complication of pancreatitis causing spontaneous gastrointestinal hemorrhage; Surgery 1980; 88(3):335-344.

Goron F H, Watkinson A, Hodgson H. Vascular malformations of the gastrointestinal tract; Best Pract Res Clin Gastroenterol 2001; 15 (1) : 42-58.

Pulcini G, Biasca F, D’Adda F, Gastroduodenal artery pseudoaneurysm ruptured at the pancreatic head; G Chir 2001; 22(3): 71-76.

Zambrana Garcia J L, Ochoa L L, Garcia G J A. Intermittent melena and pancreatic mass in a patient with chronic alcholism. Pseudoaneurysm of the gastroduodenal artery. Chronic pancreatitis of probable alcoholic origin; Rev Clin Esp 2001; 201(2): 97-98.

Dirks K, Schuler A, Lutz H. An unusual cause of gastrointestinal hemorrhage: pseudoaneurysm of the gastroduodenal artery in chronic pancreatitis; Gastroenterology 1999; 37(6): 489-493.

Taheri S A, Mueller G; Surgical approach and review of literature on gastroduodenal aneurysm: a case report; Angiology 1985;36(12):895-898.

Thakker RV, Gajjar B, Wilkins RA. Embolisation of gastroduodenal artery aneuryms caused by chronic pancreatitis, Gut 1983; 24(11): 1094-1098

Additional Files

Published

2005-03-31

How to Cite

1.
Costa PP, Carvalho M, Belo A, Garcia V, Nobre I. Recurrent Upper gastro-intestinal bleed caused by a pseudo-aneurysm of the gastro-duodenal artery. RPMI [Internet]. 2005 Mar. 31 [cited 2024 May 17];12(1):22-6. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1671

Issue

Section

Case Reports