Gastroduodenal Artery Pseudoaneurysm Ruptured in the Common Bile Duct

Abstract

A pseudoaneurysm of the gastroduodenal artery (GDA) is the rarest splanchnic artery aneurysm, comprising fewer than 10% of these lesions. Bleeding into the gastrointestinal tract is the most rapidly fatal complication of an arterial visceral pseudoaneurysm, affecting 4–10% of patients. We present an unusual case of a GDA pseudoaneurysm that ruptured in the common bile duct, and that was successfully treated by partial resection and hepatic artery reconstruction. The postoperative evolution was favourable and the CT performed six months later disclosed the absence of a vascular tumour.

Key words:

• Gastroduodenal artery
• pseudoaneurysm
• common bile duct
• hepatic artery.

Additional information

Notes on contributors

M. Fodor

Marius Fodor, M.D., Ph.D. Vascular Surgery Department First Surgical Clinic Str. Clinicilor 2–4 Cluj-Napoca, Romania Tel.: ++40–744659036 E-mail: [email protected]