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Pancreatoduodenal Artery Aneurism rupture post colonoscopy - Case report
Luca Giovanni Antonio Pivetta1, João Paulo Venancio de Carvalho1, Gustavo José Politzer Telles2
1Hernia Center, Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.
Introduction:
Complications related to colonoscopy is considered low and in most cases involves intestinal perforation. Vascular complications involving aneurysm rupture are rare in the literature and may occur after colonoscopy.
Presentation Of The Case:
We report a case of a 58-year-old male patient that ruptured pancreatoduodenal artery aneurysm after colonoscopy, successfully submitted to endovascular treatment.
Discussion:
Colonoscopy is frequently used as a diagnostic procedure. The risk of complication inherent to the procedure is considered low, and intestinal perforation is one of the most frequent. Other complications may present similar clinical symptoms, and it is necessary to complement the diagnostic investigation to offer the most appropriate treatment for the patient. Among the complications, there is one report of aneurysm rupture after performing colonoscopies and no case involving aneurysm rupture of pancreatoduodenal artery has been reported to date.
Conclusion:
A patient with ruptured pancreatoduodenal artery aneurysm is a rare entity that can be adequately treated with endovascular intervention. This is the first report of rupture related to colonoscopy.
Insights
Colonoscopy complications are rare, but this case highlights a unique vascular event. A ruptured pancreatoduodenal artery aneurysm after colonoscopy was successfully treated with endovascular intervention.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Interventional Radiology
Background:
- Colonoscopy is a common diagnostic procedure with a low complication rate, typically involving intestinal perforation.
- Vascular complications, such as aneurysm rupture, are exceptionally rare following colonoscopy.
Observation:
- A 58-year-old male presented with a ruptured pancreatoduodenal artery aneurysm.
- The patient had recently undergone a colonoscopy procedure.
Findings:
- This case represents the first reported instance of a pancreatoduodenal artery aneurysm rupture associated with colonoscopy.
- Endovascular treatment was successfully employed to manage the ruptured aneurysm.
Implications:
- While rare, vascular complications like aneurysm rupture should be considered in patients presenting with abdominal symptoms post-colonoscopy.
- Endovascular intervention offers a viable treatment option for this rare complication.
