Journal of Vascular Surgery Cases and Innovative Techniques (Feb 2025)

Endovascular repair and management of a ruptured inferior pancreaticoduodenal artery aneurysm: A case report and literature review

  • Pavel Kibrik, DO,
  • Jerry Zhu, BS,
  • Ajit Rao, MD,
  • Daniel Han, MD,
  • Peter Faries, MD,
  • James Cornwall, MD

Journal volume & issue
Vol. 11, no. 1
p. 101650

Abstract

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Inferior pancreaticoduodenal artery aneurysm (IPDA) with the stenosis of the celiac axis is rare and may cause rupture. A unique etiology of IPDAs with celiac stenosis is median arcuate ligament syndrome. These aneurysms develop as a result of the dilation of the arteries from the retrograde blood flow into the pancreaticoduodenal arches because of celiac artery compression by the median arcuate ligament. We describe a 39-year-old man whose ruptured IPDA was associated with celiac artery stenosis and who was managed with coil embolization. The patient has agreed to have their case details and images published.

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