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[Duodenal cirsoid aneurysm treated by embolization(author's transl)]
Journal De Radiologie, D'Electrologie, Et De Medecine Nucleaire
|October 1, 1975
Insights
A rare cirsoid aneurysm in the artery supplying the duodenum caused severe gastrointestinal bleeding. Embolization of the gastroduodenal artery successfully treated this vascular malformation, avoiding extensive surgery.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Arteriovenous malformations can cause significant gastrointestinal hemorrhage.
- Cirsoid aneurysms are rare vascular anomalies, and their occurrence in the duodenal artery is exceptionally uncommon.
Observation:
- A 31-year-old male presented with recurrent, severe, unexplained gastrointestinal bleeding.
- Arteriography revealed a cirsoid aneurysm of the artery supplying the second part of the duodenum.
Findings:
- Surgical confirmation of the duodenal artery aneurysm.
- Successful treatment via embolization of the gastroduodenal artery during surgery.
- This approach successfully avoided a more extensive duodenopancreatectomy.
Implications:
- Embolization is a viable, less invasive treatment option for duodenal artery aneurysms.
- Early diagnosis and intervention can prevent life-threatening hemorrhage.
- Highlights the importance of considering rare vascular lesions in cases of obscure GI bleeding.
Abstract:
A cirsoid aneurysm of the artery to the second part of the duodenum was demonstrated by arteriography in a 31 year old man who had had two severe unexplained bouts of gastrointestinal hemorrhage. The diagnosis was confirmed by surgical intervention, and in order to avoid duodenopancreatectomy, the malformation was treated by embolization of the gastroduodenal artery during the operation.