A Rare Case of Gastroduodenal Artery Aneurysm Rupture with Perforated Duodenal Ulcer: A Case Report

Author:

Almadwahi Nabeel Y.1,Alshujaa Mohamed A.1,Al-Hodiafy Hamza Z.2,Jowah Haitham Mohammed3ORCID

Affiliation:

1. Department of Vascular Surgery, Sana’a University, Faculty of Medicine, Sana’a City, Yemen

2. Department of Vascular Surgery, 48 Model Hospital, Sana’a University, Faculty of Medicine, Sana’a City, Yemen

3. Department of Surgery, Faculty of Medicine, Sana’a University, Sana’a City, Yemen

Abstract

Abstract Introduction: This case report highlights a rare presentation of a ruptured gastroduodenal artery aneurysm (GDA) accompanied by a duodenal perforation. It contributes to the scientific literature by discussing the management approach and results in a patient with dual complications and emphasizes the importance of early diagnosis and appropriate treatment. Case presentation: A 50-year-old male presented with severe abdominal pain, anemia, and signs of hemodynamic instability. Diagnostic imaging revealed a thrombosed gastroduodenal artery aneurysm. The patient underwent open surgical exploration and repair to address both the aneurysm and the duodenal perforation. The patient's recovery was satisfactory, and he was discharged home in stable condition. Conclusions This case report highlights the importance of early diagnosis and appropriate management in gastroduodenal artery aneurysms. It emphasizes the need for individualized surgical interventions based on the patient's hemodynamic status and associated complications. Dual complications required open surgical exploration and repair, resulting in favorable outcomes. The case underscores the importance of prompt intervention and comprehensive treatment in reducing mortality associated with this condition.

Publisher

Research Square Platform LLC

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