Abstract
Visceral artery aneurysms (VAAs) are a rare entity. Within this subset of aneurysms,
gastroduodenal artery (GDA) aneurysms represent an even more rare occurrence. We present
a case report of treating GDA aneurysm on semi-elective basis followed by literature
review of the clinical presentation and mainstream treatment modalities. GO is a 65-year-old
male, with 6-month history of recurrent epigastric pain. He was found to have acute
pancreatitis and an adjacent 3.5-cm GDA aneurysm. After conservative treatment of
pancreatitis, the aneurysm was treated with coil embolization of the sac and GDA.
Most VAAs are asymptomatic; GDA aneurysms tend to present clinically with epigastric
pain or pancreatitis. In addition, together with pancreaticoduodenal aneurysms, GDA
aneurysms warrant immediate intervention once diagnosed. Open surgical options for
VAAs include aneurysm resection with or without revascularization (i.e., bypass),
aneurysm ligation, or end-organ resection (i.e., splenectomy). Endovascular repair
involves coil embolization with or without stent placement. While endovascular modality
continues to be the first choice for stable elective VAA patients, modality of treatment
for ruptured VAA or unstable patients will vary according to the patient's overall
status, operator's experience, and institute capacity.
Keywords
Endovascular coiling - gastroduodenal artery - recurrent pancreatitis - symptomatic
visceral aneurysm - visceral aneurysm
