title: Concurrent treatment of acute pancreatitis and multiple visceral artery aneurysms using endovascular techniques.
abstract: Multiple aneurysms involving the celiac axis are extremely rare. Celiac artery aneurysms account for only 4% of all visceral aneurysms with 40% having concomitant aneurysms such as gastroduodenal artery (GDA) aneurysms. Development of a GDA aneurysm is associated with pancreatitis. If a GDA aneurysm ruptures, traditional repair is through open surgical techniques with significant morbidity and mortality as up to 50% occur in the setting of chronic pancreatitis. However, a ruptured GDA aneurysm causing pancreatitis has not been described previously. We report a case of successful endovascular treatment of a ruptured GDA aneurysm and concomitant celiac artery aneurysm leading to the resolution of acute pancreatitis.
authors.affiliation: Division of Vascular and Endovascular Surgery, Palo Alto VA Health System, Surgery, Stanford University, Stanford, CA 94305, USA.
authors.forename: Mario
authors.initials: M
authors.lastname: Mitkov
authors.forename: Weesam Kassim
authors.initials: WK
authors.lastname: Al-Khatib
authors.forename: Wei
authors.initials: W
authors.lastname: Zhou
mesh_terms: D000208:Acute Disease; D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation; D002445:Celiac Artery / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000209:etiology / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014781:Viscera / Q000098:blood supply*