Embolization in a patient with ruptured anterior inferior pancreaticoduodenal arterial aneurysm with median arcuate ligament syndrome.
In median arcuate ligament syndrome, the root of the celiac artery is compressed and narrowed by the median arcuate ligament of the diaphragm during expiration, causing abdominal angina. Aneurysm may be formed in arteries of the pancreas and duodenum due to a chronic increase in blood flow from the superior mesenteric artery into the celiac arterial region. We report a patient saved by embolization with coils of ruptured aneurysm that developed with markedly dilated anterior inferior pancreaticoduodenal artery due to median arcuate ligament syndrome.
Ogino
Hiroyuki
H
Department of Radiology, Nagoya City University School of Medicine 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan. ogino@med.nagoya-cu.ac.jp
Sato
Yozo
Y
Banno
Tatsuo
T
Arakawa
Toshinao
T
Hara
Masaki
M
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D001027:Aortography; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D003964:Diaphragm / Q000473:pathology*; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000628:therapy; D013577:Syndrome; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000601:surgery*