Gastroduodenal artery aneurysm - an extremely rare but insidious cause of abdominal pain: a case report.

Autor: Shehzad D; Department of Internal Medicine, Sanford School of Medicine, University of South Dakota, South Dakota, United States of America., Khan D; Department of Internal Medicine, Sanford School of Medicine, University of South Dakota, South Dakota, United States of America., Shehzad M; Hackensack University Medical Center, Hackensack, United States of America., Khan W; Department of Internal Medicine, Sanford School of Medicine, University of South Dakota, South Dakota, United States of America., Chaudhry H; Department of Internal Medicine, Sanford School of Medicine, University of South Dakota, South Dakota, United States of America., Oliver T; Department of Internal Medicine, Sanford School of Medicine, University of South Dakota, South Dakota, United States of America.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2024 Feb 20; Vol. 47, pp. 77. Date of Electronic Publication: 2024 Feb 20 (Print Publication: 2024).
DOI: 10.11604/pamj.2024.47.77.42605
Abstrakt: An arterial aneurysm is a localized weakening of the artery wall that results in pathological dilatation. All intra-abdominal artery aneurysms are labeled as visceral artery aneurysms (VAA), apart from the aorto-iliac artery aneurysms. VAA´s are rare, gastroduodenal artery aneurysms (GDAA), constituting 1.5% of visceral artery aneurysms. A woman in her early 80s´ presented with chronic epigastric pain, weight loss, and nausea. Conservative management was unsuccessful. Imaging revealed a GDAA, prompting endovascular coil embolization. Subsequent evaluation confirmed Polyarteritis Nodosa (PAN), treated with rituximab. The report underscores the diagnostic challenges, emphasizing the need for a multidisciplinary approach using imaging and angiography. GDAA's potential life-threatening rupture necessitates prompt intervention, as illustrated in this case. The rare association with PAN, although infrequent, underscores the importance of considering underlying etiologies in multiple visceral aneurysms. Early diagnosis and intervention are pivotal for this uncommon yet potentially lethal condition.
Competing Interests: The authors declare no competing interests.
(Copyright: Dawood Shehzad et al.)
Databáze: MEDLINE
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