Document Detail

Successful treatment for rupture of pancreaticoduodenal artery aneurysm: two case reports.
MedLine Citation:
PMID:  15783046     Owner:  NLM     Status:  MEDLINE    
We report 2 cases of ruptured pancreaticoduodenal artery aneurysm (PDAA) treated by transcatheter embolization (TAE). In the first case, a 63-year-old man complained of sudden abdominal pain and was transferred to our hospital because he collapsed in a state of shock. Abdominal computed tomography (CT) revealed retroperitoneal hematoma and ascites. Abdominal angiography showed bleeding from one of the branches of the inferior pancreaticoduodenal artery. The ruptured PDAA was terminated by TAE. In the second case, a 65-year-old man experienced sudden abdominal pain. Abdominal CT revealed a retroperitoneal hematoma. He received TAE to terminate bleeding from a PDAA, but his abdominal pain worsened. At operation, ileus caused by the hematoma compressing the transverse colon was diagnosed, and cecostomy was performed. He recovered well and was discharged a few days later. In summary, a patient with a ruptured PDAA should first be treated by TAE, followed if necessary by surgery.
Yoshiaki Mihara; Keiichi Kubota; Takehiko Nemoto; Kyu Rokkaku; Satoshi Yamamoto; Masatsugu Tachibana
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  52     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2005 Jan-Feb
Date Detail:
Created Date:  2005-03-23     Completed Date:  2005-07-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  264-9     Citation Subset:  IM    
Second Department of Surgery, Dokkyo University School of Medicine, Tochigi, Japan.
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MeSH Terms
Aneurysm, Ruptured / radiography,  therapy*
Duodenum / blood supply*,  radiography
Embolization, Therapeutic*
Middle Aged
Pancreas / blood supply*,  radiography

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