Glue embolization of a ruptured celiac trunk aneurysm.
The purpose of this article is to report a case of ruptured celiac trunk aneurysm treated with glue embolization. A 39-year-old man presented with abdominal pain. Abdominal computed tomography (CT) depicted the presence of hemoperitoneum, and CT angiography revealed an aneurysm in the celiac trunk. The endovascular access into the aneurysm's outflow vessel was unattainable. N-butyl cyanoacrylate (NBCA) embolization was performed. However, untargeted distal embolizations via the left gastric, splenic, and common hepatic arteries formed. Postembolization angiography showed total occlusion of the aneurysmal cavity and left gastric artery but regular retrograde filling of the stomach, liver, and spleen by branches originating from the superior mesenteric artery. After discharge on day 6, the patient was doing well, without complications at the 11-month follow-up. The operative mortality of ruptured celiac trunk aneurysm is very high. Glue embolization was successfully used as a treatment option and should be considered when there are no other options.
Department of Surgery, College of Medicine, KyungHee University, Seoul, Korea.
Sun Jin
SJ
Park
Se Whan
SW
Kwon
Ju Hyung
JH
Oh
Ho Chul
HC
Park
D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D002445:Celiac Artery / Q000000981:diagnostic imaging; D016292:Procedural Sedation; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000627:therapeutic use; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D014014:Tissue Adhesives / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D014014:Tissue Adhesives; D004659:Enbucrilate