[Rupture of a pancreaticoduodenal artery aneurysm with median arcuate ligament syndrome: report of a case].
Aneurysms of pancreaticoduodenal arteries represent only 2% of all aneurysms of digestive arteries. Occurrence of these aneurysms are favoured by stenosis or occlusion of the celiac axis. Aneurysm rupture is frequent and carries a mortality rate of 20%. Computed tomography with intravenous contrast and selective coeliomesenteric arteriography can make the diagnosis of this disease which can be treated by either surgery or embolotherapy. We report the case of a patient with a ruptured aneurysm of the pancreaticoduodenal arcades mimicking a perforated duodenal ulcer, and successfully treated by surgical ligation.
Habre
J
J
Hôpital Archet 2, 151, route Saint-Antoine-de-Ginestière, BP 3079, 06202 Nice cedex, France. habrej@hotmail.com <habrej@hotmail.com>
Bernard
J-L
JL
Bereder
J-M
JM
Rahili
A
A
Benchimol
D
D
Bourgeon
A
A
D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D003937:Diagnosis, Differential; D004381:Duodenal Ulcer / Q000175:diagnosis*; D004386:Duodenum / Q000098:blood supply*; D005260:Female; D006801:Humans; D008022:Ligaments / Q000473:pathology*; D008026:Ligation; D010179:Pancreas / Q000098:blood supply*; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome