Endovascular treatment of gastroduodenal artery aneurysm: case report

Abstract Gastroduodenal artery aneurysm is a disease with low incidence that manifests in a nonspecific form in the majority of cases, which hinders initial diagnosis. Symptomatic cases may present with abdominal pains or hemorrhage secondary to rupture. In cases in which the aneurysm ruptures, prognosis is poor and mortality can reach 40%. Steps should therefore be taken to ensure early diagnosis and treatment. Although open surgical treatment is an option, over recent years there has been a growing trend to use endovascular techniques. This report describes a rare case of a young patient with a gastroduodenal artery who was successfully treated with endovascular techniques.

摘要：胃十二指肠动脉动脉瘤（Gastroduodenal artery aneurysm）是一类发病率较低的疾病，多数患者表现为非特异性临床症状，这给初始诊断带来了困难。有症状的病例可出现腹痛或动脉瘤破裂继发的出血。当动脉瘤发生破裂时，患者预后不佳，死亡率可达40%。因此，应采取措施以保障早期诊断与治疗。尽管开放外科手术治疗是一种可选方案，但近年来血管内技术（endovascular techniques）的应用趋势愈发显著。本报告记述了一例罕见的年轻胃十二指肠动脉动脉瘤患者，其经血管内技术治疗后获得成功。