A Challenging Case of a Large Gastroduodenal Artery Pseudoaneurysm after Surgery of a Peptic Ulcer

Figure 1

(a) Contrast-enhanced axial CT image shows a giant pseudoaneurysm of 8.3 × 7.5 cm in size originating from the gastroduodenal artery (long arrow). The intravenous contrast showed filling of the mass, certifying its vascular origin (short arrow). (b) Aortography shows the blood circulation of the aneurysm in continuity with the gastroduodenal artery. (c) Angiogram after selective coil-embolization of the gastroduodenal artery through the celiac trunk and the inferior pancreaticoduodenal artery, through the superior mesenteric artery. (d) Angiographic control confirmed the complete exclusion of the pseudoaneurysm.

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