Document Detail


Celiac artery aneurysms: a case report and review of the literature.
MedLine Citation:
PMID:  16913321     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Celiac artery aneurysms (CAA) are uncommon. Most are asymptomatic, but up to 20 per cent will present as surgical emergencies. We present a case of an asymptomatic CAA discovered in a 56-year-old male during evaluation for nephrolithiasis. Only rough estimates of the prevalence of CAA are available, ranging between 0.005 per cent and 0.05 per cent. There appears to be a slight male predominance, and atherosclerotic degeneration is the most common cause. Although most patients are asymptomatic, some will present with vague abdominal pain, nausea, vomiting, or symptoms of mesenteric ischemia. Rupture is a devastating presentation, with reported mortality rates from 35 per cent to 80 per cent. Repair is performed by ligation or reconstruction. Ligation should be considered in an urgent setting, with reconstruction preferred for elective repair. Morbidity and mortality from elective repair should not exceed 5 per cent. Repair of CAA should be undertaken unless major comorbid factors are prohibitive.
Authors:
John M Connell; David C Han
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  72     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-17     Completed Date:  2006-08-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  746-9     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Department of General Surgery, Penn State College of Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania 17033, USA.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm / diagnosis*,  surgery*
Angiography
Blood Vessel Prosthesis Implantation / methods*
Celiac Artery*
Diagnosis, Differential
Follow-Up Studies
Humans
Male
Middle Aged
Tomography, X-Ray Computed
Ultrasonography, Doppler, Duplex

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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