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An Unusual Case Of Upper GI Haemorrhage Secondary To A Ruptured Gastroduodenal Artery Pseudoaneurysm
Poster Title: An Unusual Case Of Upper GI Haemorrhage Secondary To A Ruptured Gastroduodenal Artery Pseudoaneurysm
Submitted on 24 Oct 2020
Author(s): Gasim Ahmed, Mehsim Abid, Sharath Hosmane, Smitha Mathew
Affiliations: Royal Preston Hospital, Lancashire Teaching Hospitals NHS Trust, UK
This poster was presented at BIR Anual Congress 2020
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Poster Information
Abstract: A 56 years old female presented acutely with hematemesis. She reported ongoing upper epigastric pain for a few weeks. Laboratory evaluation revealed severe microcytic hypochromic anaemia (hemoglobin level of 69 g/L, normal 120-140) and a mildly raised serum amylase level. Upper gastrointestinal endoscopy revealed dark blood collecting between the rugae of the distal stomach. An abdominal CT scan detected a homogeneously enhancing rounded lesion arising from the GDA adjacent to the second part of the duodenum. The median arcuate ligament was causing stenosis of the celiac axis origin.

The diagnosis of haematemesis secondary to a ruptured GDA pseudoaneurysm was confirmed on a mesenteric angiography and aneurysmal embolization was done. The haemoglobin level stabilized post-aneurysmal embolization.
Summary: Gastroduodenal artery (GDA) pseudoaneurysm rupture is life-threatening and can present as an acute upper gastrointestinal haemorrhage. Here we present a case of upper gastrointestinal haemorrhage arising from a ruptured GDA pseudoaneurysm.References: 1. Habib N, Hassan S, Abdou R, Torbey E, Alkaied H, Maniatis T, et al. Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a concise review. Ann Surg Innov Res. 2013;7(1):4.
2. Pilleul F, Beuf O. Diagnosis of splanchnic artery aneurysms and pseudo-aneurysms,
with special reference to contrast-enhanced 3D magnetic resonance angiography: a review. Acta Radiol. 2004;45: 702–708. DOI 10.1080/02841850410001358.
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