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Case Reports in Gastrointestinal Medicine
Volume 2013, Article ID 515201, 3 pages
http://dx.doi.org/10.1155/2013/515201
Case Report

Visceral Arterial Aneurysms Complicating Endoscopic Retrograde Cholangiopancreatography

Department of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Suit No. 10C, Bronx, NY 10457, USA

Received 2 August 2013; Accepted 29 August 2013

Academic Editors: P. Abraham, T. Hirata, R. J. L. F. Loffeld, S. Nomura, N. Reddy, and Ö. Yönem

Copyright © 2013 Vinaya Gaduputi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report this case of a 74-year-old man with altered anatomy secondary to Billroth-II surgery who underwent endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis and subsequently developed severe diffuse abdominal pain with drop in hemoglobin. Patient was found to have hemorrhagic shock requiring aggressive resuscitative measures. Patient was found to have large peripancreatic hematoma secondary to bleeding from gastroduodenal and superior pancreaticoduodenal artery pseudoaneurysms. Gastroduodenal artery aneurysm is the rarest of all the splanchnic artery aneurysms, and to our knowledge this is the only reported case of a gastroduodenal artery pseudoaneurysm complicating ERCP.