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

• Published in: Annales 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
• Language: French
• 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
• DOI: 10.1016/j.anchir.2004.12.019
• ISSN: 0003-3944

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.