Aneurysm of the gastroduodenal artery.
We report a case of gastroduodenal arterial aneurysm incidentally discovered by abdominal ultrasonogram, in which three-dimensional computed tomography (3D-CT) was useful for diagnosis. An 85-year-old man was hospitalized because of fever and liver dysfunction. Carcinoma of the papilla of Vater was diagnosed by endoscopic retrograde cholangio-pancreatography, while abdominal ultrasonogram and CT scan revealed a round mass measuring 6.2x4.1 cm on the ventral side of the pancreatic head. Three-dimensional CT demonstrated that the mass arose from a branch of the common hepatic artery and projected downward, indicating a gastroduodenal arterial aneurysm. During pancreatoduodenectomy and aneurysmectomy, it was confirmed that this aneurysm arose from the gastroduodenal artery.
Matsuzaki
Y
Y
Department of Internal Medicine, Okawa General Hospital, Kagawa.
Inoue
T
T
Kuwajima
K
K
Ito
Y
Y
Okauchi
Y
Y
Kondo
H
H
Horiuchi
N
N
Nakao
K
K
Hasegawa
K
K
Iwata
M
M
Yoden
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002277:Carcinoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003138:Common Bile Duct Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D004386:Duodenum / Q000098:blood supply*; D005500:Follow-Up Studies; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D013270:Stomach / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography