Ruptured pancreaticoduodenal arterial aneurysms: diagnosis and treatment by angiographic intervention.
This article describes a 54-year-old patient who presented with a long history of epigastric pain. Laboratory values revealed a decreased red blood cell count, decreased hemoglobin level, and positive stool hemoccult test. A computed tomography scan of the abdomen revealed intra-abdominal and retroperitoneal hematomas. Emergency laparotomy was performed, but a bleeding source was not evident. Superselective angiography demonstrated bleeding aneurysms of the pancreaticoduodenal artery. Coil embolization with angiography guidance was successful in arresting the bleeding sites.
Moore-Stovall
J
J
Department of Radiology, Dwight D. Eisenhower Veterans Affairs Medical Center, Leavenworth, Kansas 66048.
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D004386:Duodenum / Q000098:blood supply*; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed