title: Successfully-treated asymptomatic celiac artery aneurysm: A case report.
abstract: BACKGROUND
  Celiac artery aneurysm is a rare vascular lesion. It is frequently discovered after rupture, which leads to death in most cases. We present a case of an asymptomatic celiac artery aneurysm discovered in a 72-year-old female during an evaluation for high grade fever and general fatigue.
  
  
  METHODS
  The patient visited our department with complaints of fever and general fatigue. The patient's medical history included type 2 diabetes mellitus with poor control and hypertension. Blood culture and urine culture that were submitted at arrival presented E. Coli. Then, she was diagnosed with bacteremia by urinary tract infection. Transesophageal echocardiography revealed no vegetation at her valves. Computed tomography was performed for investigating her urological abnormalities, revealing a 28×30 mm aneurysm at the trunk of the celiac artery. Blood and urine cultures submitted at arrival were positive for E. coli. Surgical repair performed after the improvement of her urinary tract infection revealed a non-infective aneurysm; thus, aneurysm closure and prosthetic grafting were conducted.
  
  
  CONCLUSIONS
  Clinician awareness regarding this rare entity and discovery efforts to discover the splanchnic aneurysm before rupturing are imperative.
authors.affiliation: Department of Internal Medicine, Kobe Tokushukai Hospital, Tarumi, Kobe, Japan. Electronic address: takeuchi1207@yahoo.ne.jp.
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takeuchi
authors.affiliation: Department of Internal Medicine, Kobe Tokushukai Hospital, Tarumi, Kobe, Japan. Electronic address: soneda@kobetokusyukai.jp.
authors.forename: Junichi
authors.initials: J
authors.lastname: Soneda
authors.affiliation: Department of Critical Care and Emergency Medicine, Okayama University Hospital, Okayama, Japan. Electronic address: naito05084@gmail.com.
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Naito
authors.affiliation: Department of Critical Care and Emergency Medicine, Okayama University Hospital, Okayama, Japan. Electronic address: atsuyoshiiida1656@gmail.com.
authors.forename: Atsuyoshi
authors.initials: A
authors.lastname: Iida
authors.affiliation: Department of Critical Care and Emergency Medicine, Okayama University Hospital, Okayama, Japan. Electronic address: tetsujaam@yahoo.co.jp.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yumoto
authors.affiliation: Department of Critical Care and Emergency Medicine, Okayama University Hospital, Okayama, Japan. Electronic address: hei.trp@gmail.com.
authors.forename: Kohei
authors.initials: K
authors.lastname: Tsukahara
authors.affiliation: Department of Critical Care and Emergency Medicine, Okayama University Hospital, Okayama, Japan. Electronic address: qq-nakao@okayama-u.ac.jp.
authors.forename: Atsunori
authors.initials: A
authors.lastname: Nakao
keywords: Celiac aneurysm; Splanchnic aneurysm; Surgical repair