[Surgical treatment of aneurysms of the celiac trunk. Apropos of a case].
On the basis of one personal case and 63 cases reported in the literature for patients operated from 1958 onwards, the authors assess the surgical treatment of aneurysms of the celiac trunk. These are rare (4% of all visceral aneurysms), often latent (41.3% of cases) or without any specific symptoms (36.2% of cases), and have an atheromatous (51.8% of cases) or dysplasic (38.8% of cases) origin in most cases. They mainly affect men (68.4% of cases) after 40 years of age (72.2% of cases). They are rarely identified during the clinical examination, but are detected by ultrasound and confirmed by computed tomography and/or angiography (51.8% of cases). They are often small, less than 50 mn, and their size is a criterion for the approach, which usually remains abdominal. Resection is a routine operation (84.3% of cases), but the continuity of the artery is restored in 78.3% of cases only, due to the good-quality replacement provided by the superior mesenteric artery. The operative mortality rate is 7.8%. There are 96.2% good results (2 recurrences), but the average lapse in time is only 15.75 months.
Marre
P
P
Service de Chirurgie viscérale, Centre hospitalier de Saint-Germainen-Laye.
Salomon
L
L
D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001161:Arteriosclerosis / Q000150:complications; D002445:Celiac Artery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
Traitement chirurgical des anévrismes du tronc coeliaque. A propos d'un cas.