Rupture of a pancreaticoduodenal artery aneurysm with median arcuate ligament syndrome: report of a case

Aneurysms of pancreaticoduodenal arteries represent only 2% of all aneurysms of digestive arteries. Occurrence of these aneurysms are favoured by stenosis or occlusion of the celiac axis. Aneurysm rupture is frequent and carries a mortality rate of 20%. Computed tomography with intravenous contrast...

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Bibliographic Details
Published inAnnales de chirurgie Vol. 130; no. 3; p. 178
Main Authors Habre, J, Bernard, J-L, Bereder, J-M, Rahili, A, Benchimol, D, Bourgeon, A
Format Journal Article
LanguageFrench
Published France 01.03.2005
Subjects
Aged
Aneurysm, Ruptured - complications
Aneurysm, Ruptured - diagnosis
Aneurysm, Ruptured - surgery
Diagnosis, Differential
Duodenal Ulcer - diagnosis
Duodenum - blood supply
Female
Humans
Ligaments - pathology
Ligation
Pancreas - blood supply
Syndrome
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Aneurysms of pancreaticoduodenal arteries represent only 2% of all aneurysms of digestive arteries. Occurrence of these aneurysms are favoured by stenosis or occlusion of the celiac axis. Aneurysm rupture is frequent and carries a mortality rate of 20%. Computed tomography with intravenous contrast and selective coeliomesenteric arteriography can make the diagnosis of this disease which can be treated by either surgery or embolotherapy. We report the case of a patient with a ruptured aneurysm of the pancreaticoduodenal arcades mimicking a perforated duodenal ulcer, and successfully treated by surgical ligation.
ISSN:0003-3944
DOI:10.1016/j.anchir.2004.12.019