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Successful Coil Embolization of a Ruptured Gastroduodenal Artery Aneurysm

University Hospital for General, Visceral and Transplant Surgery Tuebingen, Germany, markus.kueper{at}med.uni-tuebingen.de

Burkhard Ludescher, MD

Department of Diagnostic Radiology University Hospital, Tuebingen, Germany

Ingmar Koenigsrainer, MD

University Hospital for General, Visceral and Transplant Surgery Tuebingen, Germany

Andreas Kirschniak, MD

University Hospital for General, Visceral and Transplant Surgery Tuebingen, Germany

Kasimir Mueller, MD

University Hospital for General, Visceral and Transplant Surgery Tuebingen, Germany

Jakub Wiskirchen, MD

Department of Diagnostic Radiology University Hospital, Tuebingen, Germany

Alfred Koenigsrainer, MD

University Hospital for General, Visceral and Transplant Surgery Tuebingen, Germany

Aneurysms of the gastroduodenal artery are rare. Reported here is the case of a 60-year-old woman suffering from the covered rupturing of a twin aneurysm of the gastroduodenal artery. The patient presented herself in the surgical emergency unit with abdominal discomfort. Diagnostics showed free fluid in the abdominal cavity together with anemia of 9.9 g/dL. A computed tomography scan and an angiography revealed the covered rupturing of a twin aneurysm of the gastroduodenal artery, which was treated by endovascular coiling of the gastroduodenal and pancreaticoduodenal arteries. The patient's hemoglobin level remained stable after treatment, and she was released from the hospital after 18 days. Visceral artery aneurysms are rare. Although endovascular therapy is preferred in cases involving active bleeding, surgery remains the primary therapy in those cases in which bleeding becomes uncontrollable.

Key Words: visceral artery aneurysms • gastroduodenal artery • aneurysm coiling • aneurysm rupture

Vascular and Endovascular Surgery, Vol. 41, No. 6, 568-571 (2008)
DOI: 10.1177/1538574407305461


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