Endovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer

Abstract This case describes the endovascular treatment of a 55-year old female with a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer resulting in massive active hemorrhage into the adjacent stomach. This patient presented with persistent hypotension secondary to chronic GI b...

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Main Authors: John C. DuBois, Aaron M. Rohr, Ian T. Kozlowski, Zachary S. Collins
Format: Article
Language:English
Published: SpringerOpen 2025-05-01
Series:CVIR Endovascular
Online Access:https://doi.org/10.1186/s42155-025-00553-y
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author John C. DuBois
Aaron M. Rohr
Ian T. Kozlowski
Zachary S. Collins
author_facet John C. DuBois
Aaron M. Rohr
Ian T. Kozlowski
Zachary S. Collins
author_sort John C. DuBois
collection DOAJ
description Abstract This case describes the endovascular treatment of a 55-year old female with a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer resulting in massive active hemorrhage into the adjacent stomach. This patient presented with persistent hypotension secondary to chronic GI blood loss and simultaneous septic shock. After an abrupt drop in blood pressure, the patient arrived in the angiography suite where the ruptured pseudoaneurysm was apparent on portal venogram. Emergent stent assisted coil embolization was performed to stabilize the patient and treat the portal vein pseudoaneurysm. To our knowledge, this case presents the only portal vein pseudoaneurysm secondary to a gastric ulcer. Level of Evidence Level 4, Case-report
format Article
id doaj-art-23d6a1a85b0149b4a2b038057fab99ef
institution DOAJ
issn 2520-8934
language English
publishDate 2025-05-01
publisher SpringerOpen
record_format Article
series CVIR Endovascular
spelling doaj-art-23d6a1a85b0149b4a2b038057fab99ef2025-08-20T02:55:39ZengSpringerOpenCVIR Endovascular2520-89342025-05-01811410.1186/s42155-025-00553-yEndovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcerJohn C. DuBois0Aaron M. Rohr1Ian T. Kozlowski2Zachary S. Collins3University of Kansas School of MedicineThe University of Kansas Health SystemThe University of Kansas Health SystemThe University of Kansas Health SystemAbstract This case describes the endovascular treatment of a 55-year old female with a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer resulting in massive active hemorrhage into the adjacent stomach. This patient presented with persistent hypotension secondary to chronic GI blood loss and simultaneous septic shock. After an abrupt drop in blood pressure, the patient arrived in the angiography suite where the ruptured pseudoaneurysm was apparent on portal venogram. Emergent stent assisted coil embolization was performed to stabilize the patient and treat the portal vein pseudoaneurysm. To our knowledge, this case presents the only portal vein pseudoaneurysm secondary to a gastric ulcer. Level of Evidence Level 4, Case-reporthttps://doi.org/10.1186/s42155-025-00553-y
spellingShingle John C. DuBois
Aaron M. Rohr
Ian T. Kozlowski
Zachary S. Collins
Endovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer
CVIR Endovascular
title Endovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer
title_full Endovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer
title_fullStr Endovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer
title_full_unstemmed Endovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer
title_short Endovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer
title_sort endovascular treatment of a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer
url https://doi.org/10.1186/s42155-025-00553-y
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AT iantkozlowski endovasculartreatmentofarupturedportalveinpseudoaneurysmsecondarytoalargestomachulcer
AT zacharyscollins endovasculartreatmentofarupturedportalveinpseudoaneurysmsecondarytoalargestomachulcer