Severe duodenal stenosis due to rupture of pancreaticoduodenal artery aneurysm

Oda, Yoshimasa; Tago, Masaki; Katsuki, Naoko E; Yamashita, Shizuya

doi:10.1002/ccr3.1755

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…PDAAs sometimes cause abdominal pain, abdominal discomfort, or symptoms associated with pancreatitis 2 ) or, in extremely rare cases, symptoms accompanied by duodenal compression caused by the markedly expanded aneurysm. 8 ) However, in most cases, including in our patients, PDAAs show no symptoms and are detected incidentally during imaging examinations performed for other purposes. 1 )…”

Section: Discussionmentioning

confidence: 63%

Understanding Vascular Anatomy is Key to Successful Endovascular Treatment of Pancreaticoduodenal Artery Aneurysms

Hirano

Tokui

Nakamura

et al. 2020

Annals of Vascular Diseases

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Pancreaticoduodenal artery aneurysm (PDAA) is a rare disease without treatment guidelines. We present two patients with PDAA. The first patient was a 70-year-old man with a pseudoaneurysm in the anterior superior pancreaticoduodenal artery (ASPDA), for which we achieved exclusion by endovascular coil embolization. The second patient was a 63-year-old woman with a PDAA in the ASPDA with celiac axis obstruction. Endovascular coil embolization of the aneurysm and the ASPDA was successful without visceral organ ischemia. Endovascular treatment is effective for PDAAs, but careful evaluation of collateral circulation is vital in PDAAs with celiac axis obstruction.

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Section: Discussionmentioning

confidence: 63%

Understanding Vascular Anatomy is Key to Successful Endovascular Treatment of Pancreaticoduodenal Artery Aneurysms

Hirano

Tokui

Nakamura

et al. 2020

Annals of Vascular Diseases

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“…The terms we searched included retroperitoneal, duodenum, duodenal, obstruction, hemorrhage, hematoma, and aneurysm. We identified 21 cases in 18 literature sources [ 4 , 7 – 20 ]. The clinical features of those 21 cases and the present four cases are described in Table 2 .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous retroperitoneal hematoma with duodenal obstruction with diagnostic use of endoscopic ultrasound: A case series and literature review

Makazu

Koizumi

Masuda

et al. 2023

Clin J Gastroenterol

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Spontaneous retroperitoneal hematoma is rare and can cause duodenal obstruction. We report four cases of spontaneous retroperitoneal hematoma with duodenal obstruction, wherein endoscopic ultrasound was useful for diagnosis. The patients complained of vomiting with stable vital signs. Computed tomography, esophagogastroduodenoscopy, and endoscopic ultrasound findings were similar in all cases. Contrast-enhanced computed tomography revealed a low-density mass around the 2nd to 3rd part of the duodenum. Esophagogastroduodenoscopy showed an edematous, reddish, but non-neoplastic duodenal mucosa with stenosis of the lumen. Endoscopic ultrasound revealed a low-echoic mass around the duodenum and high-echoic floating matter suggesting debris and anechoic areas that indicated a liquid component. These findings suggested hematomas or abscesses. Although pseudoaneurysm of the pancreaticoduodenal artery was suspected in Case 3, we chose conservative treatment because the aneurysm was small. In Case 4, median arcuate ligament syndrome was suspected on angiography. No aneurysms or arteriovenous malformations were found; thus, endovascular embolization was not performed. The patients were treated conservatively and discharged within 3–5 weeks. English literature queries on spontaneous retroperitoneal hematoma with duodenal obstruction in MEDLINE revealed 21 cases in 18 studies. The clinical features of these patients and the present four cases have been discussed.

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Severe duodenal stenosis due to rupture of pancreaticoduodenal artery aneurysm

Cited by 2 publications

References 2 publications

Understanding Vascular Anatomy is Key to Successful Endovascular Treatment of Pancreaticoduodenal Artery Aneurysms

Understanding Vascular Anatomy is Key to Successful Endovascular Treatment of Pancreaticoduodenal Artery Aneurysms

Spontaneous retroperitoneal hematoma with duodenal obstruction with diagnostic use of endoscopic ultrasound: A case series and literature review

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