The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis

Visceral artery aneurysms (VAAs) are a rare entity. Within this subset of aneurysms, gastroduodenal artery (GDA) aneurysms represent an even more rare occurrence. We present a case report of treating GDA aneurysm on semi-elective basis followed by literature review of the clinical presentation and m...

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Autores principales:	Baraa Zuhaili, Robert G Molnar, Nitin G Malhotra
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2017
Materias:	endovascular coiling gastroduodenal artery recurrent pancreatitis symptomatic visceral aneurysm visceral aneurysm Medicine R
Acceso en línea:	https://doaj.org/article/595c846a1a3142629983a30ade8a1bed
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spelling	oai:doaj.org-article:595c846a1a3142629983a30ade8a1bed2021-12-02T16:24:58ZThe endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis2231-07702249-446410.4103/ajm.AJM_3_17https://doaj.org/article/595c846a1a3142629983a30ade8a1bed2017-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_3_17https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Visceral artery aneurysms (VAAs) are a rare entity. Within this subset of aneurysms, gastroduodenal artery (GDA) aneurysms represent an even more rare occurrence. We present a case report of treating GDA aneurysm on semi-elective basis followed by literature review of the clinical presentation and mainstream treatment modalities. GO is a 65-year-old male, with 6-month history of recurrent epigastric pain. He was found to have acute pancreatitis and an adjacent 3.5-cm GDA aneurysm. After conservative treatment of pancreatitis, the aneurysm was treated with coil embolization of the sac and GDA. Most VAAs are asymptomatic; GDA aneurysms tend to present clinically with epigastric pain or pancreatitis. In addition, together with pancreaticoduodenal aneurysms, GDA aneurysms warrant immediate intervention once diagnosed. Open surgical options for VAAs include aneurysm resection with or without revascularization (i.e., bypass), aneurysm ligation, or end-organ resection (i.e., splenectomy). Endovascular repair involves coil embolization with or without stent placement. While endovascular modality continues to be the first choice for stable elective VAA patients, modality of treatment for ruptured VAA or unstable patients will vary according to the patient's overall status, operator's experience, and institute capacity.Baraa ZuhailiRobert G MolnarNitin G MalhotraThieme Medical and Scientific Publishers Pvt. Ltd.articleendovascular coilinggastroduodenal arteryrecurrent pancreatitissymptomatic visceral aneurysmvisceral aneurysmMedicineRENAvicenna Journal of Medicine, Vol 07, Iss 03, Pp 130-132 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	endovascular coiling gastroduodenal artery recurrent pancreatitis symptomatic visceral aneurysm visceral aneurysm Medicine R
spellingShingle	endovascular coiling gastroduodenal artery recurrent pancreatitis symptomatic visceral aneurysm visceral aneurysm Medicine R Baraa Zuhaili Robert G Molnar Nitin G Malhotra The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis
description	Visceral artery aneurysms (VAAs) are a rare entity. Within this subset of aneurysms, gastroduodenal artery (GDA) aneurysms represent an even more rare occurrence. We present a case report of treating GDA aneurysm on semi-elective basis followed by literature review of the clinical presentation and mainstream treatment modalities. GO is a 65-year-old male, with 6-month history of recurrent epigastric pain. He was found to have acute pancreatitis and an adjacent 3.5-cm GDA aneurysm. After conservative treatment of pancreatitis, the aneurysm was treated with coil embolization of the sac and GDA. Most VAAs are asymptomatic; GDA aneurysms tend to present clinically with epigastric pain or pancreatitis. In addition, together with pancreaticoduodenal aneurysms, GDA aneurysms warrant immediate intervention once diagnosed. Open surgical options for VAAs include aneurysm resection with or without revascularization (i.e., bypass), aneurysm ligation, or end-organ resection (i.e., splenectomy). Endovascular repair involves coil embolization with or without stent placement. While endovascular modality continues to be the first choice for stable elective VAA patients, modality of treatment for ruptured VAA or unstable patients will vary according to the patient's overall status, operator's experience, and institute capacity.
format	article
author	Baraa Zuhaili Robert G Molnar Nitin G Malhotra
author_facet	Baraa Zuhaili Robert G Molnar Nitin G Malhotra
author_sort	Baraa Zuhaili
title	The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis
title_short	The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis
title_full	The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis
title_fullStr	The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis
title_full_unstemmed	The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis
title_sort	endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2017
url	https://doaj.org/article/595c846a1a3142629983a30ade8a1bed
work_keys_str_mv	AT baraazuhaili theendovascularmanagementofa35cmgastroduodenalarteryaneurysmpresentingwithgastritisandrecurrentpancreatitis AT robertgmolnar theendovascularmanagementofa35cmgastroduodenalarteryaneurysmpresentingwithgastritisandrecurrentpancreatitis AT nitingmalhotra theendovascularmanagementofa35cmgastroduodenalarteryaneurysmpresentingwithgastritisandrecurrentpancreatitis AT baraazuhaili endovascularmanagementofa35cmgastroduodenalarteryaneurysmpresentingwithgastritisandrecurrentpancreatitis AT robertgmolnar endovascularmanagementofa35cmgastroduodenalarteryaneurysmpresentingwithgastritisandrecurrentpancreatitis AT nitingmalhotra endovascularmanagementofa35cmgastroduodenalarteryaneurysmpresentingwithgastritisandrecurrentpancreatitis
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The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis

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