01 January 2001
Pseudoaneurysm of the gastroduodenal artery as a cause of obstructive jaundice.
Jerzy Kossak, Jerzy Janik, Janusz Dębski, Ryszard Rytlewski, Artur SałacińskiMed Sci Monit 2001; 7(4): CS759-761 :: ID: 421072
Abstract
A 35-year-old man presented to our emergency room with asymptomatic jaundice.A physical exam revealed a palpable mass with audible bruit in the epigastrium. Total serum bilirubinwas 21.7 mg%. A real time sonography/Doppler examination showed widening of the biliary tree (commonbile duct diameter of 13 mm) and a mass in the pancreatic head with turbulent flow. Arteriography ofthe celiac axis revealed a pseudoaneurysm of the gastroduodenal artery. A ligation of the gastroduodenalartery was performed surgically, and the aneurysmal cavity was explored and emptied. An intraoperativecholangiography showed slight stenosis of the common bile duct distally, and so a choledochojejunostomywas performed. The patient's recovery was uneventful. A follow-up angiogram revealed the short stumpof the gastroduodenal artery and no aneurysm or extravasation of dye. A follow-up ultrasound showed thecommon bile duct measuring 5.5 mm. The bilirubin level dropped to normal values. The patient was dischargedon 12 days after surgery. Ten months following surgery he was doing well. The pathology, diagnosis, andtreatment of such cases are briefly discussed.
Keywords: pseudoaneurysm of the gastroduodenal artery, obstructive jaundice
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
15 Apr 2024 : Laboratory Research
The Role of Copper-Induced M2 Macrophage Polarization in Protecting Cartilage Matrix in OsteoarthritisMed Sci Monit In Press; DOI: 10.12659/MSM.943738
07 Mar 2024 : Clinical Research
Knowledge of and Attitudes Toward Clinical Trials: A Questionnaire-Based Study of 179 Male Third- and Fourt...Med Sci Monit In Press; DOI: 10.12659/MSM.943468
08 Mar 2024 : Animal Research
Modification of Experimental Model of Necrotizing Enterocolitis (NEC) in Rat Pups by Single Exposure to Hyp...Med Sci Monit In Press; DOI: 10.12659/MSM.943443
18 Apr 2024 : Clinical Research
Comparative Analysis of Open and Closed Sphincterotomy for the Treatment of Chronic Anal Fissure: Safety an...Med Sci Monit In Press; DOI: 10.12659/MSM.944127
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952