Co-existing Perforated Duodenal Ulcer and Ruptured Gastroduodenal Artery Aneurysm

Gastroduodenal artery (GDA) aneurysm is a rare and life threatening visceral artery aneurysms. We report a case of perforated duodenal ulcer accompanied with ruptured aneurysm of gastroduodenal artery. To our knowledge, this case is not yet reported in the literature with presentation of postoperative shock due to ruptured GDA aneurysm after perforated duodenal ulcer operation. Moreover, with awareness of ruptured GDA aneurysm and early treatment with transarterial embolization, the patient leads a good result after treatment.