An unusual cause of gastric outlet obstruction: A pancreaticoduodenal artery aneurysm

We present a rare case of gastric outlet obstruction due to compression of the duodenum by a pancreaticoduodenal artery (PDA) aneurysm 2.5 cm in diameter, in a 43-year-old man from Saudi Arabia who presented with persistent vomiting and epigastric pain. The initial investigations and blood works wer...

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Main Authors: Alhasan Abdulaziz, Khan Patan
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2009-01-01
Series:Annals of Saudi Medicine
Online Access:http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=5;spage=393;epage=396;aulast=Alhasan
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author Alhasan Abdulaziz
Khan Patan
author_facet Alhasan Abdulaziz
Khan Patan
author_sort Alhasan Abdulaziz
collection DOAJ
description We present a rare case of gastric outlet obstruction due to compression of the duodenum by a pancreaticoduodenal artery (PDA) aneurysm 2.5 cm in diameter, in a 43-year-old man from Saudi Arabia who presented with persistent vomiting and epigastric pain. The initial investigations and blood works were negative, and esophagogastroduodenoscopy (EGD) was unremarkable. A CT abdomen demonstrated a mass around the duodenum and dilatation of the stomach, and CT angiography showed the PDA aneurysm. The patient was stabilized and then referred to a tertiary center for embolization. Our case demonstrates a diagnostic challenge that physicians may encounter in patients who present with vomiting and epigastric pain.
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spelling doaj.art-ec3fcab927224db78fda4a2884c92b9a2022-12-21T17:56:21ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49472009-01-01295393396An unusual cause of gastric outlet obstruction: A pancreaticoduodenal artery aneurysmAlhasan AbdulazizKhan PatanWe present a rare case of gastric outlet obstruction due to compression of the duodenum by a pancreaticoduodenal artery (PDA) aneurysm 2.5 cm in diameter, in a 43-year-old man from Saudi Arabia who presented with persistent vomiting and epigastric pain. The initial investigations and blood works were negative, and esophagogastroduodenoscopy (EGD) was unremarkable. A CT abdomen demonstrated a mass around the duodenum and dilatation of the stomach, and CT angiography showed the PDA aneurysm. The patient was stabilized and then referred to a tertiary center for embolization. Our case demonstrates a diagnostic challenge that physicians may encounter in patients who present with vomiting and epigastric pain.http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=5;spage=393;epage=396;aulast=Alhasan
spellingShingle Alhasan Abdulaziz
Khan Patan
An unusual cause of gastric outlet obstruction: A pancreaticoduodenal artery aneurysm
Annals of Saudi Medicine
title An unusual cause of gastric outlet obstruction: A pancreaticoduodenal artery aneurysm
title_full An unusual cause of gastric outlet obstruction: A pancreaticoduodenal artery aneurysm
title_fullStr An unusual cause of gastric outlet obstruction: A pancreaticoduodenal artery aneurysm
title_full_unstemmed An unusual cause of gastric outlet obstruction: A pancreaticoduodenal artery aneurysm
title_short An unusual cause of gastric outlet obstruction: A pancreaticoduodenal artery aneurysm
title_sort unusual cause of gastric outlet obstruction a pancreaticoduodenal artery aneurysm
url http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=5;spage=393;epage=396;aulast=Alhasan
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AT alhasanabdulaziz unusualcauseofgastricoutletobstructionapancreaticoduodenalarteryaneurysm
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