Pseudoaneurysm of the gastroduodenal artery: an unusual cause for hyperamylasaemia.

Authors:
Vasileios Galanakis
Vasileios Galanakis
University of London
United Kingdom

BMJ Case Rep 2018 Apr 11;2018. Epub 2018 Apr 11.

Department of Gastroenterology, Ipswich Hospital NHS Trust, Ipswich, UK.

A 79-year-old man was admitted electively for investigation of weight loss. While he was an inpatient, he developed severe epigastric pain and an initial blood test revealed an acutely raised amylase (>2000) and deranged liver function tests. A contrast CT angiography showed a large haematoma adjacent to the duodenum, spreading in the retroperitoneal space, arising from a 2 cm bleeding pseudoaneurysm in the region of the gastroduodenal artery. Due to his underlying comorbidities, he was deemed unfit for surgical repair and he had coil embolisation with successful haemostasis. The gastroduodenal artery aneurysms are rare and constitute 1.5% of all visceral artery aneurysms. They can be an incidental finding or they can present with haemorrhagic shock, abdominal pain and rarely with obstructive jaundice or hyperamylasaemia. The diagnosis is usually made with an angiography. Variable treatment options are available depending on the patient's fitness and haemodynamic stability.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-22388
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http://dx.doi.org/10.1136/bcr-2017-223882DOI Listing
April 2018
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(Supplied by CrossRef)
Pseudoaneurysm of the gastroduodenal artery following pancreatoduodenectomy. Stenting for hemorrhage
Loveček et al.
Wideochir Inne Tech Maloinwazyjne 2014
Aneurysm of the gastroduodenal artery: an unusual cause of obstructive jaundice
Konstantakos et al.
Am Surg 2000

Kumar et al.
2007
[A case of successful treatment with transcatheter arterial embolization for a ruptured aneurysm of the gastroduodenal artery presenting with a hemosuccus pancreaticus]
Matsumoto et al.
Nihon Shokakibyo Gakkai Zasshi 2006

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