Visceral artery aneurysms are rare with an approximate incidence of 0.01-0.1%, of which gastroduodenal artery aneurysms account for about 1.5% ^1,2. These can be further subdivided into true and false aneurysms ². In this particular case, the likely etiology of the pseudoaneurysm was recurrent pancreatitis in association with alcohol abuse.

The patient was initially managed by ultrasound-guided percutaneous thrombin injection. This resulted in complete thrombosis of the pseudoaneurysm lumen. Unfortunately, the pseudoaneurysm recanalized and the patient proceeded to undergo coil embolization which was complicated by hepatic artery dissection distal to the origin of the pseudoaneurysm. The patient subsequently underwent an open splenic artery to hepatic artery bypass graft followed by a cholecystectomy.