AI Article Synopsis
- A 77-year-old man had surgery in 2001 for an intraductal papillary mucinous adenoma and went to the hospital in 2004 due to vomiting blood and passing black stool.
- During an emergency endoscopy, doctors found a pulsating mass in the duodenal bulb, which was diagnosed as a 1.5cm gastroduodenal arterial aneurysm through an abdominal CT scan.
- The aneurysm was successfully treated with transcatheter arterial embolization using metallic coils, and follow-up endoscopies showed the coils protruding into the duodenum, but without any serious complications.
Article Abstract
A 77-year-old man, who underwent segmental pancreatectomy for intraductal papillary mucinous adenoma in 2001, was referred to our hospital with complaints of hematemesis and melena on January, 2004. Emergency upper gastrointestinal endoscopy showed a pulsating submucosal protrusion in the duodenal bulb, which was identified as a gastroduodenal arterial aneurysm measuring 1.5cm on abdominal CT imaging. Transcatheter arterial embolization of the aneurysm with metallic coils was successfully performed. Periodically repeated endoscopic examination has revealed the coils protruding into the duodenal lumen without any serious complication.
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