Open AccessPancreaticoduodenal artery aneurysm associated with coeliac artery occlusion from an aortic intramural hematoma
Author(s) -
Akihiko Sakatani,
Yoshinori Doi,
Toyoki Kitayama,
T. Matsuda,
Yasutaka Sasai,
Naohiro Nishida,
Masao Sakamoto,
Naoto Uenoyama,
Kazuo Kinoshita
Publication year - 2016
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v22.i16.4259
Subject(s) - medicine , aneurysm , celiac artery , occlusion , stenosis , cardiology , radiology , surgery , artery
Pancreaticoduodenal artery aneurysms are a rare type of visceral artery aneurysm, whose rupture is associated with high mortality. These aneurysms are of particular interest because local haemodynamic change caused by coeliac artery obstruction plays an important role in their development. However, the pathophysiological mechanism of coeliac artery obstruction is not completely understood. Pressure from the median arcuate ligament is most frequently reported cause. Although it is well-known that stenosis or occlusion of the visceral vessels may be caused by aortic syndrome, reports of pancreaticoduodenal artery aneurysm associated with coeliac artery occlusion due to aortic syndrome are extremely rare. Our case indicates a new aetiology for a pancreaticoduodenal artery aneurysm and demonstrates the rapid deterioration of the patient affected.