case_images: PMC10771055_01
case_images: The duodenal bulb. The central white area is an ulcer with a mucosal protrusion within it which is considered to be a pseudoaneurysm.
case_images: 10.1177_03000605231222413-fig1.jpg
case_images: PMC10771055_01_10.1177_03000605231222413-fig1.jpg
case_images: fig1-03000605231222413
case_images: Consequently, following the patient's informed consent for medical intervention, an emergency endoscopy was immediately performed and a large deep ulcer with a pulsating blood vessel on its surface was observed in the duodenal bulb (Figure 1).
case_images: (a) Mesenteric angiography confirmed the rupture of a branch of the gastroduodenal artery (GDA), with the contrast agent entering the duodenum (white arrow) and (b) Following embolization, there was no leakage of contrast agent during the second angiography.
case_images: 10.1177_03000605231222413-fig2.jpg
case_images: PMC10771055_01_10.1177_03000605231222413-fig2.jpg
case_images: fig2-03000605231222413
case_images: Considering the high rate of rebleeding that may occur with a pseudoaneurysm, celiac artery angiography was performed and a diagnosis of a pseudoaneurysm of the gastroduodenal artery (GDA) was confirmed (Figure 2).
case_images: PMC10771055_02
case_images: PMC10771055_03