Segmental arterial mediolysis with gastroduodenal artery aneurysm

Case contributed by Dr Thomas Snow

Presentation

Systemically well with incidental finding of upper abdominal mass.

Patient Data

Age: 64
Gender: Female

CT aortogram shows large gastroduodenal artery aneurysm (long arrows) and string-of-beads appearance of left gastroepiploic artery (short arrow), confirming the diagnosis of segmental arterial mediolysis.

Modality: DSA (angiography)

DSA image during coil embolisation of the gastroduodenal artery (GDA). The branches of the GDA are selected and embolised to prevent collateral aneurysm filling.

Case Discussion

Large incidentally discovered gastroduodenal artery aneurysm in a patient with segmental arterial mediolysis. Aneurysm successfully treated with coil embolisation. 

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Case Information

rID: 30333
Case created: 3rd Aug 2014
Last edited: 27th Sep 2015
System: Vascular
Inclusion in quiz mode: Included

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