Pancreaticoduodenal artery (PDA) aneurysm associated with a celiac artery (CA) occlusion or stenosis is an uncommon event. We report the case of a 63-years old man who presented with acute abdominal pain radiating to the back. During the hospital stay, the patient had an episode of severe hematemesis. He had a gastroscopy and then a surgical exploration. However only with arteriography we found a PDA, which had ruptured into duodenum. The aneurysm was associated with a stenosis of the celiac trunk and was supplied by a dense network of collateral vessels from the SMA. The patient was successfully treated with embolization and was discharged on the 64th postoperative day. Short term and mid term follow-up was uneventful. This case shows the difficulty in diagnosing these rare events in time, indicating that angiography is indispensable to establish a diagnosis and enable nonsurgical treatment

Pancreaticoduodenal Artery Aneurysm Ruptured into Duodenum, Associated with Celiac Trunk Stenosis. Case report and Review of Literature

G. Azzena;ANANIA, Gabriele;GALEOTTI, Roberto;G. Cavallesco;OCCHIONORELLI, Savino
Ultimo
2006

Abstract

Pancreaticoduodenal artery (PDA) aneurysm associated with a celiac artery (CA) occlusion or stenosis is an uncommon event. We report the case of a 63-years old man who presented with acute abdominal pain radiating to the back. During the hospital stay, the patient had an episode of severe hematemesis. He had a gastroscopy and then a surgical exploration. However only with arteriography we found a PDA, which had ruptured into duodenum. The aneurysm was associated with a stenosis of the celiac trunk and was supplied by a dense network of collateral vessels from the SMA. The patient was successfully treated with embolization and was discharged on the 64th postoperative day. Short term and mid term follow-up was uneventful. This case shows the difficulty in diagnosing these rare events in time, indicating that angiography is indispensable to establish a diagnosis and enable nonsurgical treatment
Messina, F.; Azzena, G.; Anania, Gabriele; Galeotti, Roberto; Pelligrini, D.; Cavallesco, G.; de Tullio, D.; Biaino, L.; Occhionorelli, Savino
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/1712302
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