Dilatation of the Bile and Pancreatic Ducts due to Compression by an Unruptured Abdominal Aortic Aneurysm (AAA): A Case Ameliorated by an Endovascular Stent Grafting

Fukui, Toshiro; Suzuki, Ryo; Sakaguchi, Yutaku; Shibatani, Nobuyuki; Hachimine, Daisaku; Uchida, Kazushige; Nishio, Akiyoshi; Seki, Toshihito; Okazaki, Kazuichi

doi:10.2169/internalmedicine.51.8294

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…[18,21] Fukui et al reported a case with unspecific abdominal symptoms and compression of the distal common bile duct with distension of the proximal bile and main pancreatic ducts in the body and tail of the pancreas by a growing AAA. [23] The patient was treated successfully by endovascular stent grafting via the femoral artery and recovered completely.…”

Section: Discussionmentioning

confidence: 94%

“…To our best knowledge there are only 12 cases according to literature (see Table 2) reporting aneurysms of the abdominal aorta as the cause for acute obstruction of the pancreatic duct or distal common bile duct. [12][13][14][15][16][17][18][19][20][21][22][23] Also among radiological findings of uncommon types and causes of pancreatitis, aneurysms of the abdominal arteries, especially AAA, remain a rarity. [8] According to the widely used Atlanta classification, our patient suffered from acute severe pancreatitis by presenting pulmonary insufficiency, hypotension and renal failure.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute occlusion of the ductus pancreaticus due to abdominal aortic aneurysm: Uncommon cause of silent severe acute pancreatitis - a case report and review of the literature

Lieder

Buechter

Grueneisen

et al. 2015

CRIM

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We report an uncommon case of severe silent acute pancreatitis (SSAP) caused by compression of the Ductus pancreaticus due to an abdominal aortic aneurysm (AAA) of 79 mm × 59 mm external diameter. A 78-year-old patient with known cutaneous progressive T-cell lymphoma and hypertension was referred to our institution in August 2013. During hospitalisation the patient became somnolent and developed elevated infection parameters. Abdominal ultrasonography showed a pulsating abdominal mass and CT examination revealed a stretched pancreas and an underlying partial thrombosed juxtarenal AAA extending distally to the origin of the superior mesenteric artery (SMA) and the aortic bifurcation without signs of visceral malperfusion elsewhere. The Ductus pancreaticus was dilated without involvement of the head. There were no additional radiological findings of occupying character other than the AAA. Because of his advanced age, increasing inflammatory parameters, and cutaneous T-cell lymphoma the patient was at this point neither suitable for open AAA surgery nor endovascular treatment. His clinical condition worsened due to development of a systemic inflammatory response syndrome (SIRS) and resulted in death. The presented case demonstrates that a growing AAA can cause, besides severe complications like perforation or dissection, in some rare cases SSAP as a first complication.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Acute occlusion of the ductus pancreaticus due to abdominal aortic aneurysm: Uncommon cause of silent severe acute pancreatitis - a case report and review of the literature

Lieder

Buechter

Grueneisen

et al. 2015

CRIM

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“…Furthermore, EVAR has been demonstrated as an effective tool in relieving abdominal compression symptoms caused by AAA: Fukui et al. 32 reported a case of biliary and pancreatic ducts compression caused by AAA successfully treated by EVAR.…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of a small infrarenal abdominal aortic aneurysm causing duodenal obstruction: Case report and literature review

Esposito¹,

Menna²,

Mansour³

et al. 2014

Vascular

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Duodenal obstruction caused by abdominal aortic aneurysm was first described by Osler in 1905 and is named "aortoduodenal syndrome." This condition has always been treated by open surgical repair. We report the first case of aortoduodenal syndrome successfully treated by endovascular aneurysm repair. A 74-year-old male patient referred to our hospital complaining postprandial vomit, reporting a consistent weight loss in the latest weeks. Enhanced computed tomography scans showed a small saccular abdominal aortic aneurysm compressing duodenum and inferior vena cava without any other evident pathological finding. As the patient underwent a successful endovascular treatment of the abdominal aortic aneurysm, symptoms immediately resolved so that he started back to feed and progressively gained body weight. Despite aortoduodenal syndrome is generally caused by large abdominal aortic aneurysm, this condition has to be suspected also in case of small abdominal aortic aneurysm. Differently from what has been reported in literature, endovascular aneurysm repair could be effective in the treatment of aortoduodenal syndrome.

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Endovascular Repair of a Large Abdominal Aortic Aneurysm in a Patient Presenting with Lower Extremity Edema as a Result of Inferior Vena Cava Thrombosis

Ming

Hong

et al. 2017

Annals of Vascular Surgery

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Dilatation of the Bile and Pancreatic Ducts due to Compression by an Unruptured Abdominal Aortic Aneurysm (AAA): A Case Ameliorated by an Endovascular Stent Grafting

Cited by 5 publications

References 9 publications

Acute occlusion of the ductus pancreaticus due to abdominal aortic aneurysm: Uncommon cause of silent severe acute pancreatitis - a case report and review of the literature

Acute occlusion of the ductus pancreaticus due to abdominal aortic aneurysm: Uncommon cause of silent severe acute pancreatitis - a case report and review of the literature

Endovascular treatment of a small infrarenal abdominal aortic aneurysm causing duodenal obstruction: Case report and literature review

Endovascular Repair of a Large Abdominal Aortic Aneurysm in a Patient Presenting with Lower Extremity Edema as a Result of Inferior Vena Cava Thrombosis

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