An Unusual Case of Gastric Outlet Obstruction After Embolization of Gastroduodenal Artery Pseudoaneurysm.

Embolization Gastroduodenal artery pseudoaneurysm Gastroenterology

Journal

Journal of medical cases
ISSN: 1923-4163
Titre abrégé: J Med Cases
Pays: Canada
ID NLM: 101551824

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 07 09 2021
accepted: 28 09 2021
entrez: 22 11 2021
pubmed: 23 11 2021
medline: 23 11 2021
Statut: ppublish

Résumé

Gastric outlet obstruction can occur secondary to intrinsic or extrinsic pathology. Historically peptic ulcer disease was the most common cause of gastric outlet obstruction but now malignancy-associated disease process is more common. Gastric outlet obstruction from mucosal ischemia caused by embolization of gastroduodenal artery is unheard of. This is due to the extensive blood supply of the stomach. We present an unusual presentation of gastric outlet obstruction in a patient with recent embolization of pancreatitis-induced pseudoaneurysm of the gastroduodenal artery. The diagnosis was confirmed with esophagogastroduodenoscopy, computed tomography, and upper gastrointestinal series. The case was managed conservatively with a clear liquid diet and proton pump inhibitors. Repeat upper endoscopies at 1 and 6 months after presentation confirmed disease resolution. No guidelines exist on the management of such cases due to the rarity of the disease.

Identifiants

pubmed: 34804308
doi: 10.14740/jmc3786
pmc: PMC8577608
doi:

Types de publication

Case Reports

Langues

eng

Pagination

464-467

Informations de copyright

Copyright 2021, Ashraf et al.

Déclaration de conflit d'intérêts

There is no conflict of interest to be reported in this case report by any of the authors.

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Auteurs

Muhammad Farhan Ashraf (MF)

Department of Internal Medicine, Albany Medical Center, Albany, NY, USA.

Aarshi Vipani (A)

Cedars Sinai Medical Center, Los Angeles, CA, USA.

Asra Batool (A)

Division of Gastroenterology, Albany Medical Center, Albany, New York, USA.

Classifications MeSH