Compressive Pancreaticoduodenal Artery Aneurysm Associated With Celiac Artery Stenosis

2013 ◽  
Vol 27 (8) ◽  
pp. 1187.e1-1187.e4 ◽  
Author(s):  
Hélène Wattez ◽  
Julien Lancelevée ◽  
Céline Perot ◽  
David Massouille ◽  
Jean-Pierre Chambon
Keyword(s):  
Artery Aneurysm ◽  
Celiac Artery ◽  
Artery Stenosis ◽  
Pancreaticoduodenal Artery ◽  
Pancreaticoduodenal Artery Aneurysm

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

2018 ◽  
Vol 12 (2) ◽  
pp. 385-389 ◽  
Author(s):  
Naruhiro Kimura ◽  
Atsunori Tsuchiya ◽  
Akihiro Nakamura ◽  
Muneatsu Ueda ◽  
Seiichi Yoshikawa ◽  
...  
Keyword(s):  
Artery Aneurysm ◽  
Celiac Artery ◽  
Artery Dissection ◽  
Angiographic Embolization ◽  
Pancreaticoduodenal Artery ◽  
Contrast Enhanced ◽  
Head Of The Pancreas ◽  
Pancreaticoduodenal Artery Aneurysm ◽  
Enhanced Computed Tomography

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.

Optimal Treatment for Ruptured Pancreaticoduodenal Artery Aneurysm Caused by Celiac Artery Obstruction Due to Celiac Artery Dissection

2018 ◽  
Vol 52 (8) ◽  
pp. 648-652 ◽  
Author(s):  
Hiroyuki Otsuka ◽  
Toshiki Sato ◽  
Hiromichi Aoki ◽  
Yoshihide Nakagawa ◽  
Sadaki Inokuchi
Keyword(s):  
Artery Aneurysm ◽  
Celiac Artery ◽  
Artery Occlusion ◽  
Optimal Treatment ◽  
Artery Dissection ◽  
Pancreaticoduodenal Artery ◽  
Treatment Protocols ◽  
Pancreaticoduodenal Artery Aneurysm ◽  
Flow Through ◽  
Artery Obstruction

A pancreaticoduodenal artery (PDA) aneurysm develops due to increased flow through the pancreaticoduodenal arcade in the setting of celiac or superior mesenteric artery occlusion. Additionally, there is no evidence on the computed tomography scan or angiography images that the dissection process extends to the PDA arcade. Moreover, the optimal treatment protocols for PDA aneurysms with celiac artery obstruction and for celiac artery dissection are controversial. We report 2 cases of ruptured PDA aneurysms caused by celiac artery obstruction due to celiac artery dissection in which the aneurysm was excluded, but celiac artery revascularization was not performed successfully. Our cases indicate that endovascular management for ruptured PDA aneurysms and conservative management for celiac artery obstruction due to celiac artery dissection are feasible as first-line treatment in such cases.

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