Spontaneous Rupture of Pseudoaneurysm of Gastroduodenal Artery Complicating Pancreatitis: MDCT Diagnosis

Authors

  • PL Sah Department of Radio-diagnosis, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan
  • RK Rauniyar Department of Radio-diagnosis, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan
  • RK Gupta Department of Surgery, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan
  • K Dhungel Department of Radio-diagnosis, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan
  • K Ahmad Department of Radio-diagnosis, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan
  • MK Gupta Department of Radio-diagnosis, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan

DOI:

https://doi.org/10.3126/njr.v1i1.6320

Keywords:

MDCT, gastroduodenal artery pseudoaneurysm, pancreatitis, spontaneous rupture

Abstract

Pseudoaneurysm of gastroduodenal artery is least common of all the splanchnic artery aneurysms. It occurs most commonly due to pancreatitis. Spontaneous rupture of the pseudoaneurysm has a high mortality rate. Pseudoaneurysm was traditionally diagnosed by conventional angiography. We report an interesting case of spontaneously ruptured pseudoaneurysm of gastroduodenal artery complicating pancreatitis diagnosed by multidetector computed tomography (MDCT) in a 50 years old man who presented with sudden onset of epigastric pain for 2 days. Contrast enhanced MDCT revealed a large hematoma surrounding pseudoaneurysm of the gastroduodenal artery. The patient was referred for embolization. Since rupture rate and mortality are high, prompt diagnosis of the ruptured pseudoaneurysm helps prevent or decrease mortality and morbidity.

DOI: http://dx.doi.org/10.3126/njr.v1i1.6320

Nepalese Journal of Radiology Vol.1(1): 30-32

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Published

2012-06-16

How to Cite

Sah, P., Rauniyar, R., Gupta, R., Dhungel, K., Ahmad, K., & Gupta, M. (2012). Spontaneous Rupture of Pseudoaneurysm of Gastroduodenal Artery Complicating Pancreatitis: MDCT Diagnosis. Nepalese Journal of Radiology, 1(1), 30–32. https://doi.org/10.3126/njr.v1i1.6320

Issue

Section

Case Reports