Abstract
Background: Gastroduodenal artery aneurysm is very rare among visceral aneurysms. Once it ruptures, however, the outcome can be fatal. We report treatment of a case of non-ruptured gastroduodenal artery aneurysm.
Case: The patient was a 76-year-old man with a past history of only hypertension. He was introduced to our hospital to examine a pulsatile mass on the right upper abdomen accidentally detected by ultrasonography by a local doctor. Based on the findings of computed tomography and angiography we diagnosed gastroduodenal artery aneurysm with a maximum diameter of about 5 cm. On angiography, we found the proximal neck of aneurysm to be very short and could not perform interventional radiology (IVR). We decided to perform a surgical operation.
Result: We performed laparotomy under general anesthesia, and the common hepatic artery (CHA), right and left hepatic artery (RHA, LHA), and gastroduodenal artery (GDA) were clamped. The orifice of the GDA was sutured. Reconstruction of the hepatic artery was performed with direct anastomosis of the CHA and the proper hepatic artery (PHA).
Arterial blood flow to the liver was clearly detected by ultrasonography both intraoperatively and postoperatively, and on laboratory investigations, the indicators of liver function, alanine aminotransferase, aspartate transaminoferase etc. were normalized by the third postoperative day.
Conclusion: We report a rare case of non-ruptured gastroduodenal artery aneurysm treated successfully with surgical repair.
