Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review
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 mal...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2017/6989673 |
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| author | Jad A. Degheili Alissar El Chediak Mohamad Yasser R. Dergham Aghiad Al-Kutoubi Ali H. Hallal |
| author_facet | Jad A. Degheili Alissar El Chediak Mohamad Yasser R. Dergham Aghiad Al-Kutoubi Ali H. Hallal |
| author_sort | Jad A. Degheili |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-c4a763678f3b46deb7bb7b0dc0f679ec |
| institution | OA Journals |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-c4a763678f3b46deb7bb7b0dc0f679ec2025-08-20T02:18:46ZengWileyCase Reports in Radiology2090-68622090-68702017-01-01201710.1155/2017/69896736989673Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature ReviewJad A. Degheili0Alissar El Chediak1Mohamad Yasser R. Dergham2Aghiad Al-Kutoubi3Ali H. Hallal4Department of Surgery, Division of General Surgery, American University of Beirut Medical Center, Beirut, LebanonDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, LebanonDepartment of Diagnostic Radiology, Division of Interventional Radiology, American University of Beirut Medical Center, Beirut, LebanonDepartment of Diagnostic Radiology, Division of Interventional Radiology, American University of Beirut Medical Center, Beirut, LebanonDepartment of Surgery, Division of General Surgery, American University of Beirut Medical Center, Beirut, LebanonPancreaticoduodenal 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.http://dx.doi.org/10.1155/2017/6989673 |
| spellingShingle | Jad A. Degheili Alissar El Chediak Mohamad Yasser R. Dergham Aghiad Al-Kutoubi Ali H. Hallal Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review Case Reports in Radiology |
| title | Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review |
| title_full | Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review |
| title_fullStr | Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review |
| title_full_unstemmed | Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review |
| title_short | Pancreaticoduodenal Artery Aneurysm Associated with Celiac Trunk Stenosis: Case Illustration and Literature Review |
| title_sort | pancreaticoduodenal artery aneurysm associated with celiac trunk stenosis case illustration and literature review |
| url | http://dx.doi.org/10.1155/2017/6989673 |
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