PMC10387759_01
CT angiography showing the coronal cut of gastroduodenal artery pseudoaneurysm.. CHA: common hepatic artery; GDA: gastroduodenal artery; LHA: left hepatic artery.
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Abdominal CT scan with intravenous contrast revealed common bile duct compression by a pseudoaneurysm branching from the gastroduodenal artery (red arrow) measuring 5 x 5 cm (Figure 1) associated with a pseudoaneurysm of the left hepatic artery (white arrow).
(A) Visceral angiography showing the gastroduodenal artery (GDA) pseudoaneurysm (arrows) and the left hepatic artery pseudoaneurysm. (B) No contrast in the pseudoaneurysm after successful coil embolization.. CHA: common hepatic artery; GDA: gastroduodenal artery; LHA: left hepatic artery; RHA: right hepatic artery.
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CT angiography shows a giant pseudocyst compressing the common bile duct.
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The CT scan of the abdomen showed a large cystic lesion compressing the common bile duct and occupying almost the entire abdominal cavity, measuring in size 20 cm x 19 cm (Figure 3).
Intraoperative images showed cystogastrostomy.
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The patient was surgically managed by cystogastrostomy (Figure 4) with uneventful postoperative care and was discharged on the 5th postoperative day.