Successful arterial embolization of a giant pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis with literature review. J Radiol Case Rep. 2012;6:9-16. [PMID: 22690281 DOI: org/10.3941/jrcr.v6i2.919]

One case of upper gastrointestinal tract hemorrhage due to rupture of pseudoaneurysm caused by duodenal bulb ulcer

Nonvariceal upper tract hemorrhage is a common emergency clinically, and the peptic ulcer prevails over other pathogeneses. According to the endoscopic manifestations of ulcer bleeding, the endoscopic Forrest grading is used to guide the clinical therapeutic strategy. Here we report one patient suffering from massive hemorrhage of the upper gastrointestinal tract, whose bleeding was due to pseudoaneurysm rupture caused by duodenal bulb ulcer. The patient was successfully rescued by comprehensive treatment including interventional embolization and medications such as multiple gastric mucosa protective agents. This case will promote the awareness of the Forrest grading and provide more data for improving the treatment of massive gastrointestinal bleeding.