[Aneurysm of the pancreatico-duodenal artery].
The mean age is 50. Symptoms include acute abdominal pain, hypotensive shock, GI bleeding, biliary colic, jaundice, and/or acute anemia. Less often, pancreatico-duodenal aneurysms may be fortuitously diagnosed by abdominal imaging. Rupture of a PDAA is a grave complication with high mortality and demands urgent intervention. Arterial embolization is the treatment of choice; surgical intervention should be reserved for failures of embolization. We report a case of PDAA successfully treated by arterial embolization but which posed problems in both diagnosis and treatment.
Virzì
G
G
Service de chirurgie générale et digestive, hôpital Louis-Mourier, APHP, Université Paris-VII, Colombes.
Joudinaud du Passage
A
A
Scaringi
S
S
Facchiano
E
E
Leroy
C
C
Flamant
Y
Y
Msika
S
S
Kianmanesh
R
R
D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000628:therapy*; D001158:Arteries; D002445:Celiac Artery / Q000473:pathology; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D010179:Pancreas / Q000098:blood supply*; D016896:Treatment Outcome