Pancreaticoduodenal artery aneurysm: a case report and review of the literature.
A case of true pancreaticoduodenal artery (PDA) aneurysm is reported. A calcified lesion was initially detected by plain x-ray films, and an essential diagnosis was made before operation by intravenous digital subtraction angiography (IVDSA). Surgical resection of the aneurysm was performed successfully. Additionally, we reviewed a total of 82 cases with PDA aneurysm out of the 88 cases that had been reported in the English-language literature up to 1993. Fifty-three cases were accompanied by aneurysmal rupture (rupture group), and 29, including our case, were without rupture (nonrupture group). Because of the high mortality rate (49.1%) in the rupture group, a precise diagnosis and adequate treatment of PDA aneurysm before rupture is important. In the nonrupture group, a calcification on radiography appeared in 61.6% of the cases in which aneurysms were not found incidentally; this seems to be a significant indication for angiography. Moreover, intravenous digital subtraction angiography is quite useful for the screening of PDA aneurysm because it is an easy and noninvasive examination.
Iyomasa
S
S
Department of Surgery, Tsushima City Hospital, Japan.
Matsuzaki
Y
Y
Hiei
K
K
Sakaguchi
H
H
Matsunaga
H
H
Yamaguchi
Y
Y
D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D015901:Angiography, Digital Subtraction; D001158:Arteries; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000601:surgery; D004386:Duodenum / Q000098:blood supply*; D006801:Humans; D008297:Male; D010179:Pancreas / Q000098:blood supply*; D014057:Tomography, X-Ray Computed