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Gigantic Ruptured Aneurysm of the Gastroduodenal Artery Successfully Treated by Coiling
An Tuyet Nguyen1, Ruben Juhl Jensen2, Brian Lindegaard Pedersen1
1Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark.
Introduction:
Visceral aneurysms are rare and a life threatening condition in the case of rupture.
Report:
A 78 year old woman presented with sudden brief loss of consciousness and complained of abdominal tenderness on examination. Computed tomography revealed a gigantic 100 × 130 × 200 mm ruptured true aneurysm of the gastroduodenal artery, which was successfully treated by endovascular coiling. Post-operative observation was uneventful and the six week follow up duplex ultrasound confirmed absence of luminal flow in the aneurysm.
Discussion:
The treatment threshold of visceral aneurysms and treatment modalities are reviewed.
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