Gastro-Duodenal Artery Aneurysm Rupture – Case Report

Background The definition of an aneurysm is a dilation artery more than 1.5 to 2 times its normal diameter. Visceral (or splanchnic) aneurysms include those concerning the celiac truncus, superior mesenteric artery, inferior and their branches. This classification does not aortic renal aneurysms. It rare, but clinically significant pathology because high mortality risk. Despite this rarity, cases have been accumulated better understood. Novel techniques for management developed with advent interventional radiology. However, our case concerns emergent surgical repair ruptured aneurysm, rather elective repair. Case presentation 61-year-old female patient complains diffuse, intermittent abdominal pain lasting almost one week. On last day suffers from excruciating brought emergency department. Objective evaluation shows pallor, diaphoresis, low blood pressure, tachycardia guarding in all quadrants. An ultrasound spots presence free fluid recesses. A diagnostic peritoneal needle aspiration pure blood. AB0 Rhesus type identified prepared operating theatre. Following laparotomy, lavage, rupture gastro-duodenal ligated origin. tolerated procedure well was discharged good health. Discussion Rare reports literature reported Gastro-duodenal Because rarity incidence there no clear protocol on how diagnose manage it. Possible risk factors associated conditions include: chronic pancreatitis, liver cirrhosis, vascular abnormalities as fibromuscular dysplasia polyarteritis nodosa. Other events diseases such trauma, septic emboli, hypertension atherosclerosis are also mentioned. main symptoms visceral aneurysms, or without pain, hypotension, gastric emptying delay other non-specific manifestations vomiting, diarrhoea, jaundice, upper gastro-intestinal tract haemorrhage (which occurs about 50% aneurysms) retro intra-peritoneal bleeding. Conclusion serious fatal rare condition. requires alertness decisive action, warning signs may be dull absent. Quick diagnosis before can change course disease prevent lethal complications. As disorder so uncommon, specific screening follow-up recommendations. Treatment options should decided basis. Keywords: General Surgery, Artery Aneurysm, VAA, Splanchnic Aneurysm Rupture. DOI: 10.7176/JEP/14-8-02 Publication date: March 31 st 2023