Endovascular management of a pancreaticoduodenal aneurysm: a clinical dilemma.
OBJECTIVE
To report the successful endovascular embolization of a pancreaticoduodenal aneurysm (PDA).


METHODS
A 56-year-old man with a history of pancreatitis presented with insidious, progressive epigastric pain for the preceding 6 months. Contrast-enhanced computed tomography (CT) and selective hepatic digital subtraction angiography identified a 7.7-cm aneurysm that arose from the pancreaticoduodenal branch of the gastroduodenal artery. Through a percutaneous common femoral approach, 10 stainless steel coils were delivered to occlude the aneurysm. A single coil detached and became lodged in a small branch of the right hepatic artery without sequelae. At 26 months, duplex and CT scans show continued occlusion of the aneurysm.


CONCLUSIONS
Transcatheter coil embolization should be the first choice treatment for aneurysms of the pancreaticoduodenal artery.
Sultan
Sherif
S
Department of Vascular and Endovascular Surgery, St. James's Hospital, Trinity College, Dublin, Ireland. sherifsultan@esatclear.ie
Molloy
Martin
M
Evoy
Denis
D
Colgan
Mary-Paula
MP
Madhavan
Prakash
P
Moore
Dermot
D
Shanik
Gregor
G
D000783:Aneurysm / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D001158:Arteries; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D014057:Tomography, X-Ray Computed