PT  - JOURNAL ARTICLE
AU  - Brett M. Chapman
AU  - John S. Bolton
AU  - Scott M. Gioe
AU  - W. Charles Conway
TI  - Gastroduodenal Artery Pseudoaneurysm Causing Obstructive Jaundice
AID  - 10.31486/toj.19.0110
DP  - 2020 Dec 21
TA  - Ochsner Journal
4099  - http://www.ochsnerjournal.org/content/early/2020/10/27/toj.19.0110.short
4100  - http://www.ochsnerjournal.org/content/early/2020/10/27/toj.19.0110.full
AB  - Background: Visceral artery aneurysms and pseudoaneurysms are uncommon phenomena with a high mortality rate in cases of rupture. These rare vascular pathologies are usually asymptomatic and are therefore generally discovered incidentally on computed tomography or magnetic resonance imaging examination. Current therapeutic options have trended toward a minimally invasive approach because of evolving endovascular treatment options, with open operations typically reserved for cases of intraabdominal hemorrhage.Case Report: We describe a case of gastroduodenal artery pseudoaneurysm manifesting as obstructive jaundice and pancreatitis because of extrahepatic compression of the common bile duct and pancreatic duct by mass effect. Open repair was ultimately required secondary to arterial anatomy that was not amenable to any endovascular treatment approach.Conclusion: While endovascular options are the preferred treatment modality for visceral artery aneurysms and pseudo-aneurysms, some cases require definitive open repair for a variety of reasons, including unsuitable anatomy.