{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:29:12Z","timestamp":1787682552233,"version":"build-2784847793"},"reference-count":34,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,23]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Pseudoaneurysm rupture of the gastroduodenal artery (GDA) is life-threatening and can present as an acute upper gastrointestinal haemorrhage. Here, we present a case of upper gastrointestinal haemorrhage arising from a ruptured GDA pseudoaneurysm. A 56-year-old woman presented acutely with haematemesis. She reported ongoing upper epigastric pain for a few weeks. Laboratory evaluation revealed severe microcytic hypochromic anaemia (haemoglobin, 69\u2009g\/L; normal, 120\u2013140 g\/L) and a mildly raised serum amylase level. Upper gastrointestinal endoscopy revealed dark blood collection between the rugae of the distal stomach. An abdominal CT scan detected a homogeneously enhancing rounded lesion arising from the GDA adjacent to the second part of the duodenum. The median arcuate ligament was causing stenosis of the coeliac axis origin. The diagnosis of haematemesis secondary to a ruptured GDA pseudoaneurysm was confirmed by mesenteric angiography, and aneurysmal embolisation was done. The haemoglobin level stabilised after aneurysmal embolisation.<\/jats:p>","DOI":"10.1136\/bcr-2020-236463","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T16:17:22Z","timestamp":1606148242000},"page":"e236463","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Unusual case of upper gastrointestinal haemorrhage secondary to a ruptured gastroduodenal artery pseudoaneurysm: case presentation and literature review"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8528-0125","authenticated-orcid":false,"given":"Gasim","family":"Ahmed","sequence":"first","affiliation":[{"name":"Radiology Department, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehsim","family":"Abid","sequence":"additional","affiliation":[{"name":"Radiology Department, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharath","family":"Hosmane","sequence":"additional","affiliation":[{"name":"Radiology Department, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smitha","family":"Mathew","sequence":"additional","affiliation":[{"name":"Radiology Department, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,11,23]]},"reference":[{"key":"2025082712433773000_13.11.e236463.1","doi-asserted-by":"crossref","first-page":"130","DOI":"10.4103\/ajm.AJM_3_17","article-title":"The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis","volume":"7","author":"Zuhaili","year":"2017","journal-title":"Avicenna J Med"},{"key":"2025082712433773000_13.11.e236463.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/RCT.0000000000000156","article-title":"Review of visceral aneurysms and pseudoaneurysms","volume":"39","author":"Lu","year":"2015","journal-title":"J Comput Assist Tomogr"},{"key":"2025082712433773000_13.11.e236463.3","doi-asserted-by":"crossref","DOI":"10.1186\/1750-1164-7-4","article-title":"Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a Concise review","volume":"7","author":"Habib","year":"2013","journal-title":"Ann Surg Innov Res"},{"key":"2025082712433773000_13.11.e236463.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2004.10.009"},{"key":"2025082712433773000_13.11.e236463.5","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(93)71920-X"},{"key":"2025082712433773000_13.11.e236463.6","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.08.1602"},{"key":"2025082712433773000_13.11.e236463.7","first-page":"503","article-title":"[Aneurysm of the gastroduodenal artery with aplasia of the celiac trunk]","volume":"62","author":"Vogler","year":"1991","journal-title":"Chirurg"},{"key":"2025082712433773000_13.11.e236463.8","doi-asserted-by":"publisher","DOI":"10.1007\/BF02018176"},{"key":"2025082712433773000_13.11.e236463.9","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1159\/000018714","article-title":"Splenic infarction complicating ligation of a gastroduodenal artery aneurysm","volume":"16","author":"Schweizer","year":"1999","journal-title":"Dig Surg"},{"key":"2025082712433773000_13.11.e236463.10","doi-asserted-by":"crossref","first-page":"46S","DOI":"10.1016\/j.jvs.2019.11.051","article-title":"The role of emergency presentation and revascularization in aneurysms of the peripancreatic arteries secondary to celiac trunk or superior mesenteric artery occlusion","volume":"72","author":"Bonardelli","year":"2020","journal-title":"J Vasc Surg"},{"key":"2025082712433773000_13.11.e236463.11","unstructured":"Skok PSA . 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