Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child

Gastroduodenal artery (GDA) aneurysm is a rare cause of massive life-threatening upper gastrointestinal (UGI) bleeding in children. Prompt resuscitation with fluids, administration of large amount of blood products (massive transfusion), prompt diagnostic evaluation using computed tomography (CT) an...

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Autores principales: Kavitha, Thondi Kandy, Madabhavi, Prabhu, Takia, Lalit, Awasthi, Puspraj, Chaluvashetty, Sreedhara B, Aneja, Aradhana, Menon, Prema, Nallasamy, Karthi, Angurana, Suresh Kumar, Lal, Sadhna, Jayashree, Muralidharan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191588/
https://www.ncbi.nlm.nih.gov/pubmed/37206949
http://dx.doi.org/10.1097/PG9.0000000000000034
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author Kavitha, Thondi Kandy
Madabhavi, Prabhu
Takia, Lalit
Awasthi, Puspraj
Chaluvashetty, Sreedhara B
Aneja, Aradhana
Menon, Prema
Nallasamy, Karthi
Angurana, Suresh Kumar
Lal, Sadhna
Jayashree, Muralidharan
author_facet Kavitha, Thondi Kandy
Madabhavi, Prabhu
Takia, Lalit
Awasthi, Puspraj
Chaluvashetty, Sreedhara B
Aneja, Aradhana
Menon, Prema
Nallasamy, Karthi
Angurana, Suresh Kumar
Lal, Sadhna
Jayashree, Muralidharan
author_sort Kavitha, Thondi Kandy
collection PubMed
description Gastroduodenal artery (GDA) aneurysm is a rare cause of massive life-threatening upper gastrointestinal (UGI) bleeding in children. Prompt resuscitation with fluids, administration of large amount of blood products (massive transfusion), prompt diagnostic evaluation using computed tomography (CT) angiography or digital subtraction angiography (DSA), and therapeutic endovascular or catheter-based interventions are life-saving. In cases with failed endovascular interventions, open surgical approach to ligate aneurysm is required. We report a 10-year-male with life-threatening UGI bleed due to ruptured GDA aneurysm possibly secondary to sepsis requiring resuscitation, massive transfusion, CT angiography and DSA, endovascular intervention, and ultimately surgical management with good outcome.
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spelling pubmed-101915882023-05-18 Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child Kavitha, Thondi Kandy Madabhavi, Prabhu Takia, Lalit Awasthi, Puspraj Chaluvashetty, Sreedhara B Aneja, Aradhana Menon, Prema Nallasamy, Karthi Angurana, Suresh Kumar Lal, Sadhna Jayashree, Muralidharan JPGN Rep Case Report Gastroduodenal artery (GDA) aneurysm is a rare cause of massive life-threatening upper gastrointestinal (UGI) bleeding in children. Prompt resuscitation with fluids, administration of large amount of blood products (massive transfusion), prompt diagnostic evaluation using computed tomography (CT) angiography or digital subtraction angiography (DSA), and therapeutic endovascular or catheter-based interventions are life-saving. In cases with failed endovascular interventions, open surgical approach to ligate aneurysm is required. We report a 10-year-male with life-threatening UGI bleed due to ruptured GDA aneurysm possibly secondary to sepsis requiring resuscitation, massive transfusion, CT angiography and DSA, endovascular intervention, and ultimately surgical management with good outcome. Lippincott Williams & Wilkins, Inc. 2020-12-17 /pmc/articles/PMC10191588/ /pubmed/37206949 http://dx.doi.org/10.1097/PG9.0000000000000034 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer on behalf of European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Kavitha, Thondi Kandy
Madabhavi, Prabhu
Takia, Lalit
Awasthi, Puspraj
Chaluvashetty, Sreedhara B
Aneja, Aradhana
Menon, Prema
Nallasamy, Karthi
Angurana, Suresh Kumar
Lal, Sadhna
Jayashree, Muralidharan
Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child
title Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child
title_full Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child
title_fullStr Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child
title_full_unstemmed Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child
title_short Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child
title_sort life-threatening upper gastrointestinal bleeding due to ruptured gastroduodenal artery aneurysm in a child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191588/
https://www.ncbi.nlm.nih.gov/pubmed/37206949
http://dx.doi.org/10.1097/PG9.0000000000000034
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