Successful surgical management of a ruptured true pancreaticoduodenal artery aneurysm following failed transcatheter embolization.
A ruptured splanchnic artery aneurysm is a rare clinical entity. Its diagnosis requires a high index of clinical suspicion, and management usually requires a multidisciplinary approach. We present a case of ruptured true pancreaticoduodenal artery aneurysm in an 83-year-old woman who was initially treated with transcatheter embolization, but it failed to arrest the bleeding, and she subsequently required laparotomy and surgical ligation. The clinical course and management are discussed with a review of the literature.
Sharif
Muhammad A
MA
Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast, Northern Ireland, United Kingdom. aneessharif@yahoo.co.uk
O'Donnell
Mark E
ME
Johnston
Lynn C
LC
Lau
Luk L
LL
D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D010179:Pancreas / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D016896:Treatment Outcome