TITLE

Obstruction of the celiac axis resulting in a pancreaticoduodenal artery aneurysm

AUTHOR(S)
Golarz, Scott R.; Hohmann, Stephen
PUB. DATE
October 2009
SOURCE
Baylor University Medical Center Proceedings;Oct2009, Vol. 22 Issue 4, p330
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
A 47-year-old woman complained of abdominal pain, and a computed tomography scan indicated compressive obstruction of the celiac axis and a 4-cm retropancreatic aneurysm. An angiogram identified the aneurysmal vessel as the posterior pancreaticoduodenal artery. All foregut structures were supplied by this aneurysmal vessel. Via an open approach, the inflow and outflow of the aneurysm were ligated, and blood flow to the celiac axis was reconstructed via a bypass from the supraceliac aorta. A follow-up scan indicated complete thrombosis of the aneurysm. The patient is now symptom free. Open reconstruction of the celiac axis is mandatory when ligation of a pancreaticoduodenal aneurysm results in foregut ischemia. Ligation and reconstruction can be done safely and effectively in the elective setting.
ACCESSION #
44348321

 

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