Document Detail

Ruptured aneurysm of a posterior inferior pancreaticoduodenal artery associated with duodenal stenosis after transcatheter arterial embolization.
MedLine Citation:
PMID:  21646766     Owner:  NLM     Status:  In-Data-Review    
We describe a 72-year-old man admitted to hospital as an emergency case of epigastric abdominal pain. CT scan visualized massive hemorrhage around the pancreatic head. Computed tomographic angiography showed stenosis at the origin of the celiac artery and a 10mm aneurysm of the posterior inferior pancreaticoduodenal artery (PIPDA). An emergency angiogram revealed a long aneurysm in the PIPDA. The aneurysm had irregular width and was 75mm in length. A gastroduodenal artery and the PIPDA were supplied from the superior mesenteric artery. A transcatheter arterial embolization (TAE) was performed. We reviewed 45 cases of pancreaticoduodenal aneurysms after 2000 and cases of the pancreaticoduodenal false aneurysms after 1972. As a result, we inferred that this case without pancreatitis or pancreas surgery was a true aneurysm made by the bloodstream changes caused by the celiac artery stenosis.
Kenta Yamamoto; Takashi Kumada; Seiki Kiriyama; Makoto Tanikawa; Yasuhiro Hisanaga; Hidenori Toyoda; Akira Kanamori; Toshifumi Tada; Takahiro Arakawa; Masashi Fujimori; Takuro Niinomi; Naoto Ando
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nippon Shokakibyo Gakkai zasshi The Japanese journal of gastro-enterology     Volume:  108     ISSN:  1349-7693     ISO Abbreviation:  Nippon Shokakibyo Gakkai Zasshi     Publication Date:  2011  
Date Detail:
Created Date:  2011-06-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984683R     Medline TA:  Nippon Shokakibyo Gakkai Zasshi     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  978-86     Citation Subset:  IM    
Department of Gastroenterology, Ogaki Municipal Hospital.
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