{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T23:57:18Z","timestamp":1789257438448,"version":"build-2803163510"},"reference-count":17,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,10]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Acute upper gastrointestinal (UGI) bleeding is one of the most frequent presentations to a surgical emergency. Most of them respond to initial resuscitation, and a definite diagnosis is established as soon as possible, thereby helping the clinician in management. We present the diagnostic challenges that we faced with a 70-year-old man who presented with UGI bleed. He initially responded to resuscitation, but later deteriorated and became haemodynamically unstable. The source of the UGI bleed on evaluation was found to be pseudoaneurysm of the gastroduodenal artery (PsGDA) and treated successfully by coil embolisation. The cause of the PsGDA was diverticulum arising from the first part of duodenum with changes of diverticulitis. Diverticulum originating from the first part of the duodenum is seldom reported. Moreover, diverticulitis involving this part and causing PsGDA has not been reported so far.<\/jats:p>","DOI":"10.1136\/bcr-2020-238232","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:11:50Z","timestamp":1611839510000},"page":"e238232","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Pseudoaneurysm of the gastroduodenal artery secondary to diverticulitis of the first part of duodenum: a rare presentation of upper gastrointestinal bleed"],"prefix":"10.1136","volume":"14","author":[{"given":"Ramanan","family":"Sinduja","sequence":"first","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chellappa","family":"Vijayakumar","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahalingam","family":"Sudharshan","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-082X","authenticated-orcid":false,"given":"Uday Shamrao","family":"Kumbhar","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharat Manohara","family":"Naik","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debasis","family":"Naik","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"2025082701451070000_14.1.e238232.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2006.09.016"},{"key":"2025082701451070000_14.1.e238232.2","first-page":"555","article-title":"[Diagnosis and embolotherapy of aneurysm of the gastroduodenal artery]","volume":"33","author":"Morita","year":"1988","journal-title":"Rinsho Hoshasen"},{"key":"2025082701451070000_14.1.e238232.3","first-page":"309","article-title":"Aneurysm of the visceral arteries","volume":"12","author":"Deterling","year":"1971","journal-title":"J Cardiovasc Surg"},{"key":"2025082701451070000_14.1.e238232.4","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.127.3.393"},{"key":"2025082701451070000_14.1.e238232.5","doi-asserted-by":"publisher","DOI":"10.1177\/021849230801600118"},{"key":"2025082701451070000_14.1.e238232.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.10.049"},{"key":"2025082701451070000_14.1.e238232.7","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1080\/00365521.1984.12005773","article-title":"Duodenal diverticula","volume":"19","author":"L\u00f8tveit","year":"1984","journal-title":"Scand J Gastroenterol"},{"key":"2025082701451070000_14.1.e238232.8","first-page":"768","article-title":"Duodenal diverticula","volume":"33","author":"Chitambar","year":"1953","journal-title":"Surgery"},{"key":"2025082701451070000_14.1.e238232.9","article-title":"Pseudoaneurysm of the pancreaticoduodenal artery associated with duodenal diverticulitis","volume":"2019","author":"Hao","year":"2019","journal-title":"Case Rep Surg"},{"key":"2025082701451070000_14.1.e238232.10","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":"2025082701451070000_14.1.e238232.11","first-page":"1152","article-title":"Massive extra-enteric gastrointestinal hemorrhage secondary to splanchnic artery aneurysms","volume":"44","author":"Yeh","year":"1997","journal-title":"Hepatogastroenterology"},{"key":"2025082701451070000_14.1.e238232.12","doi-asserted-by":"publisher","DOI":"10.1080\/02841850410001358"},{"key":"2025082701451070000_14.1.e238232.13","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1148\/radiology.161.2.3763917","article-title":"Pseudoaneurysms complicating pancreatitis: detection by CT","volume":"161","author":"Burke","year":"1986","journal-title":"Radiology"},{"key":"2025082701451070000_14.1.e238232.14","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":"2025082701451070000_14.1.e238232.15","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-009-0482-z"},{"key":"2025082701451070000_14.1.e238232.16","first-page":"319","article-title":"Non-perforated duodenal diverticulitis","volume":"24","author":"Katsanos","year":"2011","journal-title":"Ann Gastroenterol"},{"key":"2025082701451070000_14.1.e238232.17","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0549-0"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:45:18Z","timestamp":1756284318000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,28]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-238232"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238232","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}