A Ruptured Pancreaticoduodenal Artery Aneurysm Associated with a Splenic Artery Aneurysm: Report of a Case View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-05

AUTHORS

Atsushi Watanabe, Katsuyuki Kunieda, Shigetoyo Saji

ABSTRACT

True pancreaticoduodenal artery (PDA) aneurysms are extremely rare. We report herein a case of a ruptured PDA aneurysm associated with a nonruptured splenic artery aneurysm which was successfully treated by surgery. A 55-year-old man was admitted to a local hospital complaining of sudden abdominal and back pain, and thereafter he was transferred to our university hospital. Abdominal computed tomography revealed retroperitoneal hematoma and an enhanced round spot suggesting a peripancreatic aneurysm. Emergency angiography showed a 20-mm-sized aneurysm in the inferior PDA and a 10-mm-sized aneurysm in the splenic artery. The patient underwent an emergency laparotomy with a diagnosis of a ruptured PDA aneurysm. After evacuating a large volume clot in the right retroperitoneal space and the peritoneal cavity, we detected an index finger-sized aneurysm with arterial bleeding in the right inferioposterior aspect of the pancreas. Hemostasis was obtained by oversewing the aneurysm and a ligation of the feeding arteries. A prophylactic splenectomy was performed for the nonruptured splenic artery aneurysm. This case indicates that emergency angiography is indispensable for both a definitive diagnosis and adequate surgical treatment of PDA aneurysms. More... »

PAGES

542-545

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s005950170119

DOI

http://dx.doi.org/10.1007/s005950170119

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012058241

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11428611


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