RT Journal Article SR Electronic T1 Gastroduodenal Artery Pseudoaneurysm Causing Obstructive Jaundice JF Ochsner Journal JO Ochsner J FD O. P. Jindal Global University SP 104 OP 107 DO 10.31486/toj.19.0110 VO 21 IS 1 A1 Brett M. Chapman A1 John S. Bolton A1 Scott M. Gioe A1 W. Charles Conway YR 2021 UL http://www.ochsnerjournal.org/content/21/1/104.abstract 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.