Ruptured Gastroduodenal Artery Pseudo Aneurysm in Case of Pancreatitis

Pseudo-aneurysms rarely occur in gastroduodenal artery. It is most commonly seen in splenic artery. Gastroduodenal artery pseudo aneurysm has high mortality rate in case of rupture. Upper gastrointestinal bleeding due to visceral artery pseudoaneurysm is a rare cause. Clinical suspicion and advanced imaging tools should be employed in a timely fashion to make a diagnosis before this ominous event. Hereby I present a case of GDA pseudoaneurysm masked with pancreatitis, and plan of management when patient arrive in emergency room.