Elsevier

Surgery

Volume 136, Issue 5, November 2004, Pages 1088-1089
Surgery

Case report
Combined modality treatment of ruptured pancreaticoduodenal artery aneurysms due to celiac artery compression

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Case presentation

A 63-year-old Caucasian female was evaluated at an outside emergency department for complaints of 48 hours of progressively worsening right upper quadrant abdominal pain associated with bilious emesis. She reported a 2-year history of intermittent postprandial midepigastric abdominal pain, for which an extensive outpatient workup had been nondiagnostic. Computerized tomography of the abdomen revealed retroperitoneal fluid around the head of the pancreas, suggestive of retroperitoneal

Discussion

Aneurysms of the mesenteric circulation are rare lesions that carry the potential for rupture.1 Specifically, PD artery aneurysms account for only 2% of aneurysms encountered within the mesenteric circulation.2 Increased flow through the PD arcade in cases in which the CA is stenotic may contribute to the development of aneurysmal disease.3 Minor indentations of the CA can occur in 40% of the population and 15% of individuals exhibit narrowing severe enough to cause enlargement of collateral

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