Obstruction of the Celiac Axis Resulting in a Pancreaticoduodenal Artery Aneurysm

A 47-year-old woman complained of abdominal pain, and a computed tomography scan indicated compressive obstruction of the celiac axis and a 4-cm retropancreatic aneurysm. An angiogram identified the aneurysmal vessel as the posterior pancreaticoduodenal artery. All foregut structures were supplied b...

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Published inProceedings - Baylor University. Medical Center Vol. 22; no. 4; pp. 330 - 331
Main Authors Golarz, Scott R., Hohmann, Stephen
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 01.10.2009
Taylor & Francis Group LLC
Taylor & Francis Ltd
Baylor Health Care System
Subjects
Aneurysms
Care and treatment
Case studies
CT imaging
Diagnosis
United States
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Summary:A 47-year-old woman complained of abdominal pain, and a computed tomography scan indicated compressive obstruction of the celiac axis and a 4-cm retropancreatic aneurysm. An angiogram identified the aneurysmal vessel as the posterior pancreaticoduodenal artery. All foregut structures were supplied by this aneurysmal vessel. Via an open approach, the inflow and outflow of the aneurysm were ligated, and blood flow to the celiac axis was reconstructed via a bypass from the supraceliac aorta. A follow-up scan indicated complete thrombosis of the aneurysm. The patient is now symptom free. Open reconstruction of the celiac axis is mandatory when ligation of a pancreaticoduodenal aneurysm results in foregut ischemia. Ligation and reconstruction can be done safely and effectively in the elective setting.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0899-8280
1525-3252
DOI:10.1080/08998280.2009.11928548