Gastroduodenal artery aneurysm e A rare complication of traumatic pancreatic injury

• 作 者: Annu Babu Amulya Rattan Manees
• 机 构: Division of Trauma Surgery&Critical Care, JPN Apex Trauma Center, Department of Surgical Disciplines
• 出 处: 中华创伤杂志（英文版）
• 发表日期: 2016年6期
• 关键词: Aneurysm of gastroduodenal artery Pancreatic injury Angioembolization

abstract Aneurysm of gastroduodenal artery (GDA) is rare. Most reported cases are due to pancreatitis and atherosclerosis; however, those following pancreatic trauma have not been reported. We encoun-tered GDA aneurysm in a patient of blunt abdominal trauma, who had pancreatic contusion and retroduodenal air on contrast enhanced computed tomography of abdomen. Emergency laparotomy for suspected duodenal injury revealed duodenal wall and pancreatic head contusion, mild hemo-peritoneum and no evidence of duodenal perforation. In the postoperative period, the patient developed upper gastrointestinal hemorrhage on day 5. Repeat imaging revealed GDA aneurysm, which was managed successfully by angioembolization. This case highlights, one, delayed presen-tation of GDA aneurysm after blunt pancreatic trauma and two, its successful management using endovascular technique.