DESCRIPTION

A 43-year-old man presented with a 2-day history of haematemesis and melaena. His medical history included chronic pancreatitis and alcohol-induced liver cirrhosis. Gastroscopy revealed a small amount of blood in the duodenum but no bleeding source. Following endoscopy, he remained stable but his haemoglobin dropped from 9.8 to 7.8 g/dL in 4 days. A repeat endoscopy was also unremarkable. The following day he developed severe abdom-inal pain and haemodynamic instability. An urgent CT of the abdomen was performed (figure 1). This demonstrated a large gastroduodenal artery pseu-doaneurysm. This was successfully treated with aneurysmal embolisation. Figure 2A,B demonstrate