@entity438 are the rarest of all splanchnic @entity438 . A case of @entity438 diagnosed preoperatively and successfully managed surgically is described. A 68-year-old @entity1 was admitted to our institution as a result of recurrent @entity158 . Arteriography of the coeliac trunk and of the upper mesenteric artery showed a coeliac axis occluded at the origin and a voluminous round aneurysmatic formation of the gastroduodenal artery measuring approx. 3 cm. Such lesions may be asymptomatic and initially pass unnoticed or may appear only on rupturing with a profile of haemoperitoneum. The preoperative diagnosis is difficult: in many cases only non-specific signs such as @entity158 , @entity1087 or upper digestive tract @entity548 are present. Selective arteriography, in this case, permitted the definitive diagnosis of a @entity439 , as well as establishing its size and morphology and the vascular pattern of the lesions, all of which was of great assistance in selecting the surgical strategies to be adopted. The operation consisted in the proximal and distal ligation of the gastroduodenal artery and in resection of the @entity439 after preparation of the portal vein, the common hepatic artery and the VBP. We maintain that, because of the risk of @entity397 of the @entity439 , which so often has a fatal profile, an aggressive surgical approach is both justifiable and advisable.

XXXX : a case report.

@entity1 :: ('9606', 'Species') :: ['woman'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysm', 'gastroduodenal aneurysm'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'epigastric pain'] @entity438 :: ('MESH:D002532', 'Disease') :: ['artery aneurysms', 'Aneurysms of the gastroduodenal artery', 'gastroduodenal artery aneurysm']
@entity438 :: (MESH:D002532,Disease) :: ['Aneurysms of the gastroduodenal artery']
