{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T15:00:54Z","timestamp":1771945254930,"version":"3.50.1"},"reference-count":15,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"unspecified","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,2,12]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>Postoperative bleeding from a gastroduodenal artery (GDA) pseudoaneurysm is a serious and potentially life-threatening complication following pancreatoduodenectomy. While it can often be controlled with timely intervention, it carries the risk of rare, challenging secondary complications. We discuss in this report an elderly male who underwent a pancreatico-duodenectomy. Fourteen months postsurgery, he presented with bleeding and abdominal pain. Following an immediate CT angiogram, endovascular coil embolisation of the GDA pseudoaneurysm, along with the placement of a covered stent in the common hepatic artery (CHA), was performed. The bleeding had stopped. Unfortunately, 2\u2009months later, he endured another gastrointestinal bleed. An Esophagogastroduodenoscopy and a CTA were done, which showed a clot and confirmed the coils in the afferent limb of the jejunum at the pancreato-jejunal anastomosis site. An endoscopic attempt at retrieval was unsuccessful, and the coils eventually egressed spontaneously. This case underscores the clinical relevance of pseudoaneurysms in postpancreatico-duodenectomy patients and highlights the potential complications associated with interventions.\u2003<\/jats:p>","DOI":"10.1136\/bcr-2025-269270","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T14:05:29Z","timestamp":1771941929000},"page":"e269270","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Gastrointestinal bleeding from an arterial-enteric fistula postcoil embolisation of GDA pseudoaneurysm after pancreatico-duodenectomy"],"prefix":"10.1136","volume":"19","author":[{"given":"Saimuralidhar","family":"Srinivasan","sequence":"first","affiliation":[{"name":"Surgery, Lowell General Hospital, Lowell, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregg","family":"Franco","sequence":"additional","affiliation":[{"name":"Interventional Radiology, Lowell General Hospital, Lowell, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annmarie","family":"Joyce","sequence":"additional","affiliation":[{"name":"Gastroenterology, Lowell General Hospital, Lowell, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anasuya","family":"Gunturi","sequence":"additional","affiliation":[{"name":"Medical Oncology, Lowell General Hospital, Lowell, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suman","family":"Koganti","sequence":"additional","affiliation":[{"name":"Surgery, Lowell General Hospital, Lowell, Massachusetts, USA"},{"name":"Surgery, Tufts Medical Center, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"2026022406051086000_19.2.e269270.1","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1002\/bjs5.50210","article-title":"Systematic review of the incidence, presentation and management of gastroduodenal artery pseudoaneurysm after pancreatic resection","volume":"3","author":"Brodie","year":"2019","journal-title":"BJS Open"},{"key":"2026022406051086000_19.2.e269270.2","doi-asserted-by":"crossref","DOI":"10.7717\/peerj.19115","article-title":"Gastroduodenal artery aneurysm\/ pseudoaneurysm: a systematic review of reported cases","volume":"13","author":"Lee","year":"2025","journal-title":"PeerJ"},{"key":"2026022406051086000_19.2.e269270.3","doi-asserted-by":"crossref","first-page":"5071","DOI":"10.1016\/j.radcr.2024.07.181","article-title":"Gastrointestinal and intraperitoneal bleeding due to multiple pseudoaneurysms postpartial pancreatectomy: A case report and literature review","volume":"19","author":"Zhen","year":"2024","journal-title":"Radiol Case Rep"},{"key":"2026022406051086000_19.2.e269270.4","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1002\/jhbp.636","article-title":"Gastroduodenal artery: single key for many locks","volume":"26","author":"Desai","year":"2019","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"2026022406051086000_19.2.e269270.5","doi-asserted-by":"crossref","first-page":"40S","DOI":"10.1016\/j.jvs.2020.05.018","article-title":"A systematic review and meta-analysis of the management of visceral artery aneurysms","volume":"72","author":"Barrionuevo","year":"2020","journal-title":"J Vasc Surg"},{"key":"2026022406051086000_19.2.e269270.6","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2025.111346","article-title":"Endovascular treatment of gastroduodenal artery pseudoaneurysm in a low-risk young female: Case report with literature review","volume":"131","author":"Amro","year":"2025","journal-title":"Int J Surg Case Rep"},{"key":"2026022406051086000_19.2.e269270.7","doi-asserted-by":"crossref","first-page":"5612","DOI":"10.1016\/j.radcr.2024.08.038","article-title":"Large gastroduodenal artery pseudoaneurysm and arterioportal fistula in chronic pancreatitis","volume":"19","author":"Cushman","year":"2024","journal-title":"Radiol Case Rep"},{"key":"2026022406051086000_19.2.e269270.8","article-title":"Large gastroduodenal artery pseudoaneurysm, arterioportal fistula and portal vein stenosis in chronic pancreatitis treated using combined transarterial embolization and transportal stenting: A case report","volume":"101","author":"Lim","year":"2022","journal-title":"Medicine (Abingdon)"},{"key":"2026022406051086000_19.2.e269270.9","doi-asserted-by":"crossref","DOI":"10.1177\/23247096251323076","article-title":"Gastroduodenal Artery (GDA) Pseudoaneurysm as a Cause of Massive Upper Gastrointestinal (GI) Bleeding Years After Partial Gastrectomy","volume":"13","author":"Almasri","year":"2025","journal-title":"J Investig Med High Impact Case Rep"},{"key":"2026022406051086000_19.2.e269270.10","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjae545","article-title":"Hepatic artery aneurysm post remote pancreaticoduodenectomy","volume":"2024","author":"Djalal","year":"2024","journal-title":"J Surg Case Rep"},{"key":"2026022406051086000_19.2.e269270.11","doi-asserted-by":"crossref","first-page":"1734","DOI":"10.1016\/j.jvs.2016.05.067","article-title":"The presentation and management of aneurysms of the pancreaticoduodenal arcade","volume":"64","author":"Corey","year":"2016","journal-title":"J Vasc Surg"},{"key":"2026022406051086000_19.2.e269270.12","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.cjtee.2024.08.009","article-title":"Stent-graft implantation for late postpancreatectomy hemorrhage after pancreatoduodenectomy","volume":"28","author":"Li","year":"2025","journal-title":"Chin J Traumatol"},{"key":"2026022406051086000_19.2.e269270.13","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1001\/jama.1976.03260400012008","article-title":"Arterial-Enteric Fistula","volume":"235","author":"Hamit","year":"1976","journal-title":"JAMA"},{"key":"2026022406051086000_19.2.e269270.14","doi-asserted-by":"crossref","DOI":"10.1186\/s12876-023-03022-9","article-title":"Endovascular treatment of postoperative hemorrhage after pancreatectomy: a retrospective study","volume":"23","author":"Izumi","year":"2023","journal-title":"BMC Gastroenterol"},{"key":"2026022406051086000_19.2.e269270.15","doi-asserted-by":"crossref","DOI":"10.14309\/crj.0000000000000347","article-title":"Management of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated by Coil Migration","volume":"7","author":"Chang","year":"2020","journal-title":"ACG Case Rep J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-269270","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T14:05:31Z","timestamp":1771941931000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-269270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,24]]},"published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1136\/bcr-2025-269270"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-269270","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]}}}