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Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review

Visceral artery pseudoaneurysm is a rare disease that most commonly occurs in male patients in their 50s, with gastroduodenal artery (GDA) pseudoaneurysm accounting for only 1.5% of these. The treatment options generally include open surgery and endovascular treatment. In 40 cases of GDA pseudoaneur...

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Autores principales: Zhou, Yan-Yuan, Wang, Shao-Chung, Seak, Chen-June, Huang, Shu-Wei, Cheng, Hao-Tsai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10325565/
https://www.ncbi.nlm.nih.gov/pubmed/37425331
http://dx.doi.org/10.3389/fmed.2023.1198378
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author Zhou, Yan-Yuan
Wang, Shao-Chung
Seak, Chen-June
Huang, Shu-Wei
Cheng, Hao-Tsai
author_facet Zhou, Yan-Yuan
Wang, Shao-Chung
Seak, Chen-June
Huang, Shu-Wei
Cheng, Hao-Tsai
author_sort Zhou, Yan-Yuan
collection PubMed
description Visceral artery pseudoaneurysm is a rare disease that most commonly occurs in male patients in their 50s, with gastroduodenal artery (GDA) pseudoaneurysm accounting for only 1.5% of these. The treatment options generally include open surgery and endovascular treatment. In 40 cases of GDA pseudoaneurysm from 2001 to 2022, endovascular therapy was the mainstay of treatment in 30 cases, and most of them (77%) were treated by coil embolization. Our case report describes a 76-year-old female patient with a GDA pseudoaneurysm, which was treated by endovascular embolization using liquid embolic agent N-butyl-2-cyanoacrylate (NBCA) alone. This is the first time this treatment strategy has been used for GDA pseudoaneurysm. We demonstrate a successful outcome with this unique treatment. The successful experience of our case may provide a new treatment strategy for this rare disease.
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spelling pubmed-103255652023-07-07 Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review Zhou, Yan-Yuan Wang, Shao-Chung Seak, Chen-June Huang, Shu-Wei Cheng, Hao-Tsai Front Med (Lausanne) Medicine Visceral artery pseudoaneurysm is a rare disease that most commonly occurs in male patients in their 50s, with gastroduodenal artery (GDA) pseudoaneurysm accounting for only 1.5% of these. The treatment options generally include open surgery and endovascular treatment. In 40 cases of GDA pseudoaneurysm from 2001 to 2022, endovascular therapy was the mainstay of treatment in 30 cases, and most of them (77%) were treated by coil embolization. Our case report describes a 76-year-old female patient with a GDA pseudoaneurysm, which was treated by endovascular embolization using liquid embolic agent N-butyl-2-cyanoacrylate (NBCA) alone. This is the first time this treatment strategy has been used for GDA pseudoaneurysm. We demonstrate a successful outcome with this unique treatment. The successful experience of our case may provide a new treatment strategy for this rare disease. Frontiers Media S.A. 2023-06-22 /pmc/articles/PMC10325565/ /pubmed/37425331 http://dx.doi.org/10.3389/fmed.2023.1198378 Text en Copyright © 2023 Zhou, Wang, Seak, Huang and Cheng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Zhou, Yan-Yuan
Wang, Shao-Chung
Seak, Chen-June
Huang, Shu-Wei
Cheng, Hao-Tsai
Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review
title Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review
title_full Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review
title_fullStr Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review
title_full_unstemmed Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review
title_short Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review
title_sort case report: duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10325565/
https://www.ncbi.nlm.nih.gov/pubmed/37425331
http://dx.doi.org/10.3389/fmed.2023.1198378
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