International Medical Case Reports Journal (Jun 2024)
A Rare Case of Gastroduodenal Artery Aneurysm Rupture with Perforated Duodenal Ulcer
Abstract
Nabeel Yahya Almadwahi,1 Mohamed Ali Alshuja’a,1 Hamza Zaid Al-Hodiafy,2 Haitham Mohammed Jowah1 1Department of Surgery, Faculty of Medicine, Sana’a University, Sana’a City, Yemen; 2Department of Vascular Surgery, 48 Model Hospital, Sana’a University, Sana’a City, YemenCorrespondence: Haitham Mohammed Jowah, Department of Surgery, Faculty of Medicine, Sana’a University, Sana’a City, Yemen, Tel +96774831058, Email [email protected]: In this case we report a rare presentation of a ruptured gastroduodenal artery aneurysm (GDA) accompanied by a duodenal perforation. It contributes to the scientific literature by discussing the management approach and results in a patient with dual complications and emphasizes the importance of early diagnosis and appropriate treatment.Case presentation: A 50-year-old male presented with severe abdominal pain, anemia, and signs of hemodynamic instability. Diagnostic imaging including CTA revealed a large, thrombosed gastroduodenal artery aneurysm with evidence of rupture. The patient underwent open surgical exploration and repair to address both the aneurysm and the duodenal perforation. The patient’s recovery was satisfactory and was discharged home in stable condition.Conclusion: Early diagnosis and appropriate management in gastroduodenal artery aneurysms is crucial. There is a need for individualized surgical interventions based on the patient’s hemodynamic status and associated complications. Dual complications required open surgical exploration and repair, resulting in favorable outcomes.Keywords: gastroduodenal artery aneurysm, duodenal perforation, open surgical exploration, outcomes, case report
