# Large gastroduodenal artery pseudoaneurysm presenting as gastric outlet obstruction: a case report

**Authors:** Hannah E Hassum, Apoorva Saboo, Aditya Kaushal, Damien Loh, Ee J Ban

PMC · DOI: 10.1093/jscr/rjag130 · Journal of Surgical Case Reports · 2026-03-07

## TL;DR

A rare case of a large gastroduodenal artery pseudoaneurysm causing gastric outlet obstruction is reported, highlighting the importance of considering vascular anomalies during endoscopic investigations.

## Contribution

This case report presents a rare presentation of a gastroduodenal artery pseudoaneurysm as gastric outlet obstruction.

## Key findings

- GDA pseudoaneurysm can present as gastric outlet obstruction, a rare and atypical symptom.
- Endoscopic investigation should consider vascular anomalies as a potential cause of gastric outlet obstruction.
- Timely diagnosis and management of such pseudoaneurysms are critical to prevent life-threatening complications.

## Abstract

Visceral artery aneurysms are a rare and potentially lethal clinical presentation. They can be asymptomatic or present with large volume gastrointestinal bleeding. Gastric outlet obstruction is a rare clinical presentation for a visceral artery aneurysm. We present a case of a GDA pseudoaneurysm presenting as gastric outlet obstruction and the diagnosis and management of the case. It is important to keep vascular anomalies in mind, particularly when performing endoscopic investigation.

## Linked entities

- **Diseases:** gastric outlet obstruction (MONDO:0001561)

## Full-text entities

- **Diseases:** GOO (MESH:D017219), gastrointestinal bleeding (MESH:D006471), abdominal pain (MESH:D015746), chronic kidney disease (MESH:D051436), endoleak (MESH:D057867), cholecystectomy (MESH:D017562), chronic pancreatitis (MESH:D050500), vomiting (MESH:D014839), pancreatitis (MESH:D010195), strictures (MESH:D003251), Crohn's disease (MESH:D003424), obstructive jaundice (MESH:D041781), True aneurysms (MESH:D000783), infection (MESH:D007239), vascular anomalies (MESH:D020785), Gastroduodenal artery (GDA) pseudoaneurysm (MESH:D017541), rupture (MESH:D012421), GDA (MESH:D010437), malignancy (MESH:D009369), calcifications (MESH:D002114), hypertension (MESH:D006973), adhesions (MESH:D000267), ethanol abuse (MESH:D000437), stroke (MESH:D020521), tenderness (MESH:D063806), renovascular hypertension (MESH:D006978), atherosclerosis (MESH:D050197), Visceral artery aneurysms (MESH:D002532), trauma (MESH:D014947), inflammation (MESH:D007249), nausea (MESH:D009325), gastric cancer (MESH:D013274), autoimmune conditions (MESH:D001327), abdominal distension (MESH:D000007), bleeding (MESH:D006470)
- **Chemicals:** N-butyl-2-cyanoacrylate (MESH:D004659), alcohol (MESH:D000438)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC12966782/full.md

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Source: https://tomesphere.com/paper/PMC12966782