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Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child
Thondi Kandy Kavitha1, Prabhu Madabhavi1, Lalit Takia1
1From the Pediatric Critical Care Unit, Department of Pediatrics.
Insights
Gastroduodenal artery aneurysms are rare but dangerous causes of upper GI bleeding in children. Successful management requires prompt resuscitation, diagnostics, and often endovascular or surgical intervention.
Area of Science:
- Pediatric Surgery
- Vascular Surgery
- Gastroenterology
Background:
- Gastroduodenal artery (GDA) aneurysm is a rare cause of massive, life-threatening upper gastrointestinal (UGI) bleeding in children.
- Prompt resuscitation, massive transfusion, and diagnostic imaging are critical for initial management.
Abstract:
Gastroduodenal artery (GDA) aneurysm is a rare cause of massive life-threatening upper gastrointestinal (UGI) bleeding in children. Prompt resuscitation with fluids, administration of large amount of blood products (massive transfusion), prompt diagnostic evaluation using computed tomography (CT) angiography or digital subtraction angiography (DSA), and therapeutic endovascular or catheter-based interventions are life-saving. In cases with failed endovascular interventions, open surgical approach to ligate aneurysm is required. We report a 10-year-male with life-threatening UGI bleed due to ruptured GDA aneurysm possibly secondary to sepsis requiring resuscitation, massive transfusion, CT angiography and DSA, endovascular intervention, and ultimately surgical management with good outcome.
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