We report this case of a 74-year-old man with altered anatomy secondary to Billroth-II surgery who underwent endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis and subsequently developed severe diffuse abdominal pain with drop in hemoglobin. Patient was found to have hemorrhagic shock requiring aggressive resuscitative measures. Patient was found to have large peripan...

We describe a rare variation in the origin of gastroduodenal artery from celiac trunk during routine educational dissection of a 50-year-old male cadaver of Asian origin in our department of Anatomy. Celiac trunk apart from its usual three branches, the left gastric artery, common hepatic artery and splenic artery also gave origin to the gastroduodenal artery in the present case (Figure 1). The...

Here we present a unique case of variation in the branching pattern of the coeliac trunk. In the present case, the coeliac trunk was replaced by two separate arterial trunks. The first arterial trunk bifurcated into the left gastric and the left hepatic arteries. The second arterial trunk bifurcated into a splenic artery and a hepato-gastroduodenal trunk. The hepato-gastroduodenal trunk present...

We present a 39-year-old patient with massive duodenal bleeding ulcer. The patient had multiple variants in his hepatic arterial anatomy that led us to erroneously embolize the dorsal pancreatic artery presuming it to be the gastroduodenal artery. Due to this erroneous presumption, our patient continued to have upper gastrointestinal bleeding. Repeat angiogram was performed, during which the ac...

A numerically important group of patients with functional gastrointestinal disorders have chronic symptoms that can be attributed to the gastroduodenal region. Based on the consensus opinion of an international panel of clinical investigators who reviewed the available evidence, a classification of the functional gastroduodenal disorders is proposed. Four categories of functional gastroduodenal...

Animal models have identified multiple mechanisms of aspirin toxicity. Aspirin inhibits cyclooxygenase in the gastroduodenal mucosa leading to a decrease in endogenous prostaglandins. Prostaglandin mediated mucus and bicarbonate secretion, epithelial hydrophobicity, blood flow, and cellular proliferation are all decreased. Salicylates may cause direct cellular toxicity via inhibition of energy ...