Life-threatening Upper Gastrointestinal Bleeding Due to Ruptured Gastroduodenal Artery Aneurysm in a Child. Issue 1 (17th February 2021)

• Record Type: Journal Article
• Authors: Kavitha, Thondi Kandy; Madabhavi, Prabhu; Takia, Lalit; Awasthi, Puspraj; Chaluvashetty, Sreedhara B; Aneja, Aradhana; Menon, Prema; Nallasamy, Karthi; Angurana, Suresh Kumar; Lal, Sadhna; Jayashree, Muralidharan
• Is Part Of: JPGN reports. Volume 2:Issue 1(2021)
• Page Start: e034
• Publication Date: 2021-02-17
• Subjects: gastroduodenal artery -- upper GI bleeding -- visceral artery aneurysm; Pediatric gastroenterology -- Periodicals; Children -- Nutrition -- Periodicals; Children -- Nutrition; Pediatric gastroenterology; Infant Nutritional Physiological Phenomena; Child Nutritional Physiological Phenomena; Gastrointestinal Diseases; Infant; Child; Periodicals; Periodical; Case Reports; 618.9233
• DOI: 10.1097/PG9.0000000000000034
• Languages: English
• ISSNs: 2691-171X

Abstract

Abstract : Gastroduodenal artery (GDA) aneurysm is a rare cause of massive life-threatening upper gastrointestinal (UGI) bleeding in children. Prompt resuscitation with fluids, administration of large amount of blood products (massive transfusion), prompt diagnostic evaluation using computed tomography (CT) angiography or digital subtraction angiography (DSA), and therapeutic endovascular or catheter-based interventions are life-saving. In cases with failed endovascular interventions, open surgical approach to ligate aneurysm is required. We report a 10-year-male with life-threatening UGI bleed due to ruptured GDA aneurysm possibly secondary to sepsis requiring resuscitation, massive transfusion, CT angiography and DSA, endovascular intervention, and ultimately surgical management with good outcome.