| Summary: | Introduction: Visceral aneurysms are rare and a life threatening condition in the case of rupture. Report: A 78 year old woman presented with sudden brief loss of consciousness and complained of abdominal tenderness on examination. Computed tomography revealed a gigantic 100 × 130 × 200 mm ruptured true aneurysm of the gastroduodenal artery, which was successfully treated by endovascular coiling. Post-operative observation was uneventful and the six week follow up duplex ultrasound confirmed absence of luminal flow in the aneurysm. Discussion: The treatment threshold of visceral aneurysms and treatment modalities are reviewed. Keywords: Embolisation, Gastroduodenal, Rupture, Treatment, Visceral aneurysm
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