Gigantic Ruptured Aneurysm of the Gastroduodenal Artery Successfully Treated by Coiling

Visceral aneurysms are rare and a life threatening condition in the case of rupture. A 78 year old woman presented with sudden brief loss of consciousness and complained of abdominal tenderness on examination. Computed tomography revealed a gigantic 100 × 130 × 200 mm ruptured true aneurysm of the gastroduodenal artery, which was successfully treated by endovascular coiling. Post-operative observation was uneventful and the six week follow up duplex ultrasound confirmed absence of luminal flow in the aneurysm. The treatment threshold of visceral aneurysms and treatment modalities are reviewed. •Giant ruptured visceral aneurysm successfully treated endovascularly.•Visceral aneurysms are rare and mostly asymptomatic.•Rupture is associated with high mortality.•Endovascular approach for treatment is fast and safe.•Wide consensus on treatment threshold is lacking.