Shell Mark, Reinhart Evan, Smith Stephen, DeMarris Darryl, Naumann Christopher
Department of Gastroenterology, Baylor Scott and White Medical Center Temple, Temple, TX.
Department of Interventional Radiology, University of New Mexico Hospital, Albuquerque, NM.
ACG Case Rep J. 2021 Oct 5;8(9):e00663. doi: 10.14309/crj.0000000000000663. eCollection 2021 Sep.
Gastroduodenal artery (GDA) pseudoaneurysms are rare clinical entities that typically develop in the setting of chronic inflammation of the pancreas, although idiopathic pseudoaneurysms can occur. Although GDA pseudoaneurysms carry the risk of rupture with resultant hemorrhage, they seldom are reported to cause biliary obstruction. We report a unique case of biliary obstruction secondary to extrinsic compression of the bile duct by a GDA pseudoaneurysm successfully managed by nonoperative means.
胃十二指肠动脉（GDA）假性动脉瘤是一种罕见的临床病症，通常在胰腺慢性炎症的背景下发生，不过也可能出现特发性假性动脉瘤。尽管GDA假性动脉瘤有破裂并导致出血的风险，但很少有报道称其会引起胆管梗阻。我们报告了一例独特的病例，该病例为GDA假性动脉瘤对胆管造成外部压迫继发胆管梗阻，通过非手术方法成功治愈。
