{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:05:47Z","timestamp":1780477547166,"version":"3.54.1"},"reference-count":14,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"unspecified","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,8,25]]},"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>Spontaneous retroperitoneal haemorrhage (SRH) is rare. It may present with abdominal or back pain with or without haemodynamic instability. Aggressive resuscitation while investigating the cause of bleeding and providing haemostasis are the standard of care. Subsequent close monitoring is necessary to identify early complications.<\/jats:p>\n               <jats:p>This study reports three patients who presented to our institution within the last 5\u2009years with SRH from a ruptured pancreaticoduodenal artery (PDA) aneurysm. Each patient had a unique presentation, complications and treatment demonstrating the variability and complexity of SRH. One patient presented with sudden abdominal pain and hypovolaemic shock, underwent angioembolisation and had an eventful recovery. Another patient presented similarly and was treated via angioembolisation but experienced gastric outlet obstruction and obstructive jaundice requiring surgical haematoma evacuation. Another patient had an incidental finding of haemoperitoneum during laparoscopic cholecystectomy that was subsequently diagnosed as SRH resulting from a PDA aneurysm rupture secondary to medial arcuate ligament syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2022-250383","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T11:16:17Z","timestamp":1666005377000},"page":"e250383","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Spontaneous retroperitoneal haemorrhage from pancreatoduodenal artery (PDA) rupture and associated complications"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3425-7432","authenticated-orcid":false,"given":"Edmund Wooi Keat","family":"Tan","sequence":"first","affiliation":[{"name":"National Healthcare Group, Singapore"},{"name":"Hepatopancreatobiliary Surgery, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal G","family":"Shelat","sequence":"additional","affiliation":[{"name":"National Healthcare Group, Singapore"},{"name":"Hepatopancreatobiliary Surgery, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia Yuting","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Duke-NUS Graduate Medical School, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1090-9336","authenticated-orcid":false,"given":"Jee Keem","family":"Low","sequence":"additional","affiliation":[{"name":"National Healthcare Group, Singapore"},{"name":"Hepatopancreatobiliary Surgery, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,10,17]]},"reference":[{"key":"2025082803402786000_15.10.e250383.1","doi-asserted-by":"publisher","DOI":"10.4103\/2006-8808.78462"},{"key":"2025082803402786000_15.10.e250383.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00535-003-1251-3"},{"key":"2025082803402786000_15.10.e250383.3","doi-asserted-by":"crossref","first-page":"265","DOI":"10.3109\/00365599609182303","article-title":"Radiological parameters of bleeding renal angiomyolipoma","volume":"30","author":"Koh","year":"1996","journal-title":"Scand J Urol Nephrol"},{"key":"2025082803402786000_15.10.e250383.4","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1007\/s11605-010-1257-0","article-title":"True aneurysm of the pancreaticoduodenal arteries: a single institution experience","volume":"14","author":"Katsura","year":"2010","journal-title":"J Gastrointest Surg"},{"key":"2025082803402786000_15.10.e250383.5","first-page":"547","article-title":"A rare obstruction of the coeliac artery. Report of a case","volume":"52","author":"Harjola","year":"1963","journal-title":"Ann Chir Gynaecol Fenn"},{"key":"2025082803402786000_15.10.e250383.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-006-0083-y"},{"key":"2025082803402786000_15.10.e250383.7","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.fluid.39.050905.110128"},{"key":"2025082803402786000_15.10.e250383.8","doi-asserted-by":"publisher","DOI":"10.1007\/BF00571539"},{"key":"2025082803402786000_15.10.e250383.9","doi-asserted-by":"publisher","DOI":"10.1002\/msj.20181"},{"key":"2025082803402786000_15.10.e250383.10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2017\/6989673","article-title":"Pancreaticoduodenal artery aneurysm associated with celiac trunk stenosis: case illustration and literature review","volume":"2017","author":"Degheili","year":"2017","journal-title":"Case Rep Radiol"},{"key":"2025082803402786000_15.10.e250383.11","doi-asserted-by":"crossref","first-page":"1496","DOI":"10.1002\/ccr3.1643","article-title":"Median arcuate ligament syndrome and aneurysm in the pancreaticoduodenal artery detected by retroperitoneal hemorrhage: a case report","volume":"6","author":"Hanaki","year":"2018","journal-title":"Clin Case Rep"},{"key":"2025082803402786000_15.10.e250383.12","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200007000-00026"},{"key":"2025082803402786000_15.10.e250383.13","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-6-42"},{"key":"2025082803402786000_15.10.e250383.14","first-page":"E10","article-title":"Ct guided drainage of a duodenal hematoma after trauma","volume":"63","author":"Hanish","year":"2007","journal-title":"J Trauma"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-250383","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:40:34Z","timestamp":1756377634000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-250383"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":14,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,17]]},"published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1136\/bcr-2022-250383"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-250383","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}