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Gastroduodenal Artery Aneurysm Causing Obstructive Jaundice and Acute Cholangitis
Jin Yun1, Jon Gerry2, Mark Gibson3
1Providence Portland Medical Center, Department of Internal Medicine, Portland, OR.
ACG Case Reports Journal
|August 14, 2025
Summary
Gastroduodenal artery aneurysms (GDAA) are rare vascular conditions that can rupture. This case highlights successful coil embolization for GDAA causing jaundice and cholangitis, emphasizing prompt treatment for high-risk cases.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Gastroduodenal artery aneurysms (GDAA) are uncommon yet critical vascular pathologies.
- These aneurysms present a significant risk of rupture, leading to high mortality rates.
Observation:
- A case involving an elderly woman with two GDAAs presenting with obstructive jaundice and acute cholangitis is detailed.
- The patient's symptoms were directly attributed to the presence and mass effect of the GDAAs.
Findings:
- Successful treatment of the GDAAs was achieved using endovascular coil embolization.
- This minimally invasive approach effectively resolved the obstructive symptoms and cholangitis.
Implications:
- The findings underscore the importance of considering GDAA in patients with unexplained gastrointestinal or biliary symptoms.
- Prompt intervention for GDAA, regardless of size, is crucial due to the high risk of rupture and associated mortality.
- Coil embolization presents a viable and effective treatment option for GDAA, particularly in complex presentations.
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