Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review
Joint Authors
Kutoubi, Muhammad Aghiad
Degheili, Jad A.
Hallal, Ali H.
El Chediak, Alissar
Dergham, Mohamad Yasser R.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-26
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Pancreaticoduodenal artery aneurysms (PDA) are rare visceral aneurysms.
Celiac trunk stenosis represents a common attributable aetiology for those aneurysms.
Therefore, an alternative treatment approach, which differs from those isolated aneurysms, is recommended.
We hereby present a 77-year-old male patient who was admitted with sudden onset of severe abdominal pain and significant drop in haemoglobin, occurring within a 24-hour interval.
Contrast-enhanced computed tomography revealed a ruptured visceral aneurysm arising from the anterior branch of the inferior pancreaticoduodenal artery.
A severe stenosis was also noted at the take-off of the celiac trunk.
Selective catheterization of the supplying branch of the superior mesenteric artery, followed by coil embolization of the aneurysm, was performed, resulting in cessation of flow within the aneurysm, with preservation of the posterior branch, supplying the celiac territory.
PDAs are usually asymptomatic and discovered incidentally at rupture.
The risk of rupture is independent of the aneurysmal size and is associated with a 50% mortality rate.
The consensus on coping with aneurysms is to treat them whenever they are discovered.
Selective angiography followed by coil embolization represents a less invasive, and frequently definitive, approach than surgery.
The risk for ischemia mandates that the celiac territory must not be compromised after embolization.
American Psychological Association (APA)
Degheili, Jad A.& El Chediak, Alissar& Dergham, Mohamad Yasser R.& Kutoubi, Muhammad Aghiad& Hallal, Ali H.. 2017. Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review. Case Reports in Radiology،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1149842
Modern Language Association (MLA)
Degheili, Jad A.…[et al.]. Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review. Case Reports in Radiology No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1149842
American Medical Association (AMA)
Degheili, Jad A.& El Chediak, Alissar& Dergham, Mohamad Yasser R.& Kutoubi, Muhammad Aghiad& Hallal, Ali H.. Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review. Case Reports in Radiology. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1149842
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149842