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Ruptured pancreaticoduodenal arterial aneurysms: diagnosis and treatment by angiographic intervention

Moore-Stovall, J.

Journal of the National Medical Association 87(2): 149-151

1995

ISSN/ISBN: 0027-9684
PMID: 7897688
Document Number: 446977
This article describes a 54-year-old patient who presented with a long history of epigastric pain. Laboratory values revealed a decreased red blood cell count, decreased hemoglobin level, and positive stool hemoccult test. A computed tomography scan of the abdomen revealed intra-abdominal and retroperitoneal hematomas. Emergency laparotomy was performed, but a bleeding source was not evident. Superselective angiography demonstrated bleeding aneurysms of the pancreaticoduodenal artery. Coil embolization with angiography guidance was successful in arresting the bleeding sites.

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