Pseudoaneurysm of the gastroduodenal artery in a patient with chronic pancreatitis manifesting as obstructive jaundice

Abstract

Objective. To detect the presence of pseudoaneurysm of the gastroduodenal artery (GDA) and to demonstrate the capabilities of modern interventional endovascular surgery, which in most cases allows to correct the situation with the greatest benefit for the patient.

Materials and methods. The article presents our own observation of a rare pathology detected with modern instrumental diagnostic methods. Literature data on the prevalence, localization in the human body, features of the clinical picture, tactics of management of pseudoaneurysms in general and of GDA in particular are provided.

Results. Using CT angiography, the exact localization of pseudoaneurysm was established and IES-embolization of GDA was performed, which made it possible to achieve the desired clinical effect.

Conclusion. Pseudoaneurysm of GDA can manifest not only with bleeding, but also with severe mechanical jaundice. Modern endovascular technology in most cases allows to correct the pathology with the most positive effect for the patient.