Document Detail


Inferior pancreaticoduodenal artery false aneurysm: a rare cause of gastrointestinal bleeding diagnosed by three-dimensional computed tomography.
MedLine Citation:
PMID:  19907872     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a 57-year-old man who presented with a two-month history of persistent epigastric pain associated with indigestion, weight loss and jaundice. Contrast-enhanced computed tomography revealed a large pseudoaneurysm 87 mm x 68 mm in diameter, with its origin from the inferior pancreaticoduodenal artery of the superior mesenteric artery and in continuity with an ectatic gastroduodenal artery. The aneurysmal mass exerted direct pressure over the head of the pancreas, common bile duct and duodenum, causing obstruction. Non-selective abdominal angiography confirmed the aneurysm stemming from the inferior pancreaticoduodenal artery. Because of the obstructive symptoms and the size of the aneurysm, surgery was planned, but the patient refused and died from massive gastrointestinal bleeding one month later.
Authors:
M C Colak; H Kocaturk; E Bayram; L Karaca
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  50     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-11-12     Completed Date:  2010-02-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e346-9     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Firat University School of Medicine, Elazig 23119, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Aneurysm, False / diagnosis*,  radiography
Angiography / methods
Common Bile Duct / pathology
Gastroenterology / methods
Gastrointestinal Hemorrhage / diagnosis*,  radiography
Humans
Imaging, Three-Dimensional
Male
Middle Aged
Pancreas / pathology
Tomography, X-Ray Computed / methods*
Treatment Outcome

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


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