Hemorrhagic gastroduodenal artery pseudoaneurysm coil embolization

Image-guided percutaneous interventions for treatment of pseudoaneurysms have become more common in cases with failed or limited endovascular access but may be technically difficult due to anatomic location and surrounding structures. We present the case of a man with a history of intraductal papillary mucinous neoplasm after Whipple procedure with postoperative hemorrhage from a gastroduodenal artery pseudoaneurysm. The pseudoaneurysm was successfully treated by an anterior abdominal percutaneous approach utilizing a blunt-tip needle technique to avoid adjacent bowel injury.