Case Reports in Gastroenterology (Aug 2018)

A Case of Successful Treatment of Ruptured Pancreaticoduodenal Artery Aneurysm Caused by Celiac Artery Dissection

  • Naruhiro Kimura,
  • Atsunori Tsuchiya,
  • Akihiro Nakamura,
  • Muneatsu Ueda,
  • Seiichi Yoshikawa,
  • Takahiro Hoshi,
  • Akito Takano,
  • Satoshi Takagi,
  • Tsutomu Miura,
  • Satoshi Yamada,
  • Masahiko Yanagi,
  • Tatsuo Tani,
  • Hiroyuki Hirahara

DOI
https://doi.org/10.1159/000491384
Journal volume & issue
Vol. 12, no. 2
pp. 385 – 389

Abstract

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A 52-year-old man was admitted due to severe epigastric lesion pain. Esophagus gastroduodenal endoscopy showed impaired duodenal dilatation, and contrast-enhanced computed tomography revealed a pancreaticoduodenal artery (PDA) aneurysm 13 mm in diameter below the head of the pancreas, retroperitoneal hematoma, idiopathic celiac artery (CA) dissection, and common hepatic artery disruption. Angiographic embolization with a mixture of N-butyl-1,2-cyanoacrylate and lipiodol was performed, and follow-up study showed improvement of the dilatation of the duodenum and disappearance of the aneurysm. Here we report a quite rare case of PDA aneurysm by idiopathic dissection of CA treated successfully with angiographic embolization.

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