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Gastroduodenal artery pseudo-aneurysm after cholecystectomy
Acta Chirurgica Belgica
|October 4, 2003
Summary
A ruptured gastroduodenal artery pseudo-aneurysm after surgery can be fatal. This case highlights successful treatment using embolisation with metal coils, offering a less invasive option for managing this critical complication.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Interventional Radiology
Background:
- Post-cholecystectomy complications can include rare but severe arterial pseudo-aneurysms.
- Ruptured visceral artery pseudo-aneurysms pose significant surgical challenges and high mortality risks.
Observation:
- A 69-year-old male developed a gastroduodenal artery pseudo-aneurysm rupture into the duodenum 8 days post-open cholecystectomy.
- The patient presented with acute bleeding, a life-threatening condition associated with high operative mortality.
Findings:
- The ruptured pseudo-aneurysm was successfully treated with endovascular embolisation using metal coils.
- This interventional radiology technique provided a minimally invasive alternative to open surgical repair.
Implications:
- Embolisation offers a viable and potentially safer treatment option for managing ruptured gastroduodenal artery pseudo-aneurysms.
- This case underscores the importance of considering endovascular interventions for post-surgical arterial complications.