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[Duodenal cirsoid aneurysm treated by embolization(author's transl)]
Summary
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.