Journal of Vascular Surgery Cases and Innovative Techniques (Mar 2020)

Coil embolization of a ruptured gastroduodenal artery pseudoaneurysm presenting with hemosuccus pancreaticus

  • Naveed U. Saqib, MD, FACS,
  • Hunter M. Ray, MD,
  • Zain Al Rstum, MD,
  • Joseph J. DuBose, MD,
  • Ali Azizzadeh, MD,
  • Hazim J. Safi, MD, FACS

Journal volume & issue
Vol. 6, no. 1
pp. 67 – 70

Abstract

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Hemosuccus pancreaticus is a rare form of upper gastrointestinal bleeding that accounts for roughly 1 in 1500 cases. It is characterized by hemorrhage from the ampulla of Vater secondary to rupture of a peripancreatic pseudoaneurysm or visceral artery pseudoaneurysm. Among the visceral artery pseudoaneurysms, gastroduodenal artery pseudoaneurysms are among the rarest. In this case report, we describe a successful coil embolization of a large ruptured gastroduodenal pseudoaneurysm in a patient with massive gastrointestinal bleeding. Keywords: Hemosuccus pancreaticus, Visceral artery pseudoaneurysms, coil embolization