[Aneurysms of the celiac artery: case report and review of the literature].
Aneurysm of the celiac trunk is uncommun, accounting for 6% of all splanchnic artery aneurysms. Atherosclerosis is the main cause, other causes include fibrodysplasia and more rarely mycotic or post-stenotic conditions. Usually asymptomatic, detection is generally fortuitous. Ultrasound, angiography and CT scan provide the positive diagnosis. Rupture is the most serious complication. The risk is about 13% per year with high mortality (80%). Cure can be achieved by conventional or endovascular surgery. We report an aneurysm of the bifurcation of the celiac trunk in a 70-year-old woman. Diagnosis was fortuitous. The aneurysm was sacciform with a 2.5 cm diameter and a large collar. Because of its locations and shape, no endovascular procedure could be attemped. Reconstruction with a patch was achieved with conventional surgery. The post-operative period was uneventful. Ultrasound at 3, 6, 12 and 36 months showed a normal caliber with regular blood flow in the reconstructed vessels.
Porcu
P
P
Service de Chirurgie Vasculaire, Université de Sassari, Italie.
Marongiu
G M
GM
Bacciu
P P
PP
D000368:Aged; D000783:Aneurysm / Q000175:diagnosis* / Q000601:surgery; D000792:Angiography; D002445:Celiac Artery; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color