Document Detail

Successful endovascular treatment of post-traumatic inferior pancreaticoduodenal artery pseudoaneurysm.
MedLine Citation:
PMID:  19037533     Owner:  NLM     Status:  MEDLINE    
True and pseudoaneurysms of the visceral arteries are uncommon. They represent 0.1-0.2 percent of all vascular aneurysms. Visceral artery aneurysms (VAAs) should be treated due to their propensity to rupture and associated high mortality. We describe a 58-year-old man with pseudoaneurysm of the inferior pancreaticoduodenal artery and who presented with post-motor vehicle accident abdominal pain and a pulsatile epigastic mass. Computed tomography (CT) showed a pseudoaneurysm of the visceral artery, and selective mesenteric angiography showed the aneurysm to be arising from the inferior pancreaticoduodenal artery. The aneurysm was successfully treated with endovascular coil embolisation. CT angiogram at one month post-procedure revealed persistent occlusion of the aneurysm. To the best of our knowledge, this is the first reported pseudoaneurysm of inferior pancreaticoduodenal artery secondary to blunt abdominal trauma from a motor vehicle accident and also the first reported VAA from Malaysia.
B D Leong; J A Chuah; V M Kumar; M Y Mazri; A A Zainal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  49     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e300-2     Citation Subset:  IM    
Department of Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia.
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MeSH Terms
Accidents, Traffic
Aneurysm, False / etiology*,  therapy*
Angiography / methods
Celiac Artery / radiography
Duodenum / pathology*
Hepatic Artery / radiography
Mesenteric Artery, Superior / radiography
Middle Aged
Pancreas / blood supply*
Tomography, X-Ray Computed / methods
Treatment Outcome
Vascular Surgical Procedures / methods*

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