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Pancreaticoduodenal Artery Aneurysm Associated with Coeliac Artery Occlusion from an Aortic Intramural Hematoma

Overview
Journal World J Gastroenterol
Publisher Baishideng Publishing Group
Specialty Gastroenterology
Date 2016 Apr 29
PMID 27122676
Citations 6
Authors
Akihiko Sakatani
Yoshinori Doi
Toshiaki Kitayama
Takaaki Matsuda
Yasutaka Sasai
Naohiro Nishida
Megumi Sakamoto
Naoto Uenoyama
Kazuo Kinoshita
Affiliations
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Abstract

Pancreaticoduodenal artery aneurysms are a rare type of visceral artery aneurysm, whose rupture is associated with high mortality. These aneurysms are of particular interest because local haemodynamic change caused by coeliac artery obstruction plays an important role in their development. However, the pathophysiological mechanism of coeliac artery obstruction is not completely understood. Pressure from the median arcuate ligament is most frequently reported cause. Although it is well-known that stenosis or occlusion of the visceral vessels may be caused by aortic syndrome, reports of pancreaticoduodenal artery aneurysm associated with coeliac artery occlusion due to aortic syndrome are extremely rare. Our case indicates a new aetiology for a pancreaticoduodenal artery aneurysm and demonstrates the rapid deterioration of the patient affected.

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