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Annu Babu,Amulya Rattan,Maneesh Singhal,Amit Gupta,Subodh Kumar.[J].Chin J Traumatol,2016,19(6):368-370. [doi] |
Gastroduodenal artery aneurysm e A rare complication of traumaticpancreatic injury |
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DOI: |
KeyWord: Aneurysm of gastroduodenal arteryPancreatic injuryAngioembolization |
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Author Name | Affiliation | Annu Babu | Division of Trauma Surgery & Critical Care, JPN Apex Trauma Center, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India | Amulya Rattan | Division of Trauma Surgery & Critical Care, JPN Apex Trauma Center, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India | Maneesh Singhal | Division of Trauma Surgery & Critical Care, JPN Apex Trauma Center, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India | Amit Gupta | Division of Trauma Surgery & Critical Care, JPN Apex Trauma Center, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India | Subodh Kumar | Division of Trauma Surgery & Critical Care, JPN Apex Trauma Center, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India |
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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 encountered 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 hemoperitoneum 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 presentation of GDA aneurysm after blunt pancreatic trauma and two, its successful management using
endovascular technique. |
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