Surgical Repair of True Gastroduodenal Artery Aneurysm: A Case Report

Matsuno, Yukihiro; Mori, Yoshio; Umeda, Yohtaro; Imaizumi, Matsuhisa; Takiya, Hiroshi

doi:10.1177/1538574408316916

Cited by 18 publications

(17 citation statements)

References 6 publications

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“…Pancreatitis, abdominal trauma, and iatrogenic causes (e.g., prior abdominal surgery or endovascular interventions) have been reported as risk factors for hepatic artery pseudoaneurysm. 1,3,6,8) In the present case, chronic pancreatitis seemed to play a role in weakening the common hepatic artery wall. The mechanisms of pseudoaneurysm formation in pancreatitis include inflammation with enzymatic digestion of the pancreatic or peripancreatic artery, visceral artery erosion by pseudocysts, and pseudocyst erosion into the bowel wall and intramural artery.…”

Section: Discussionmentioning

confidence: 87%

“…9) Most pseudoaneurysms commonly present with abdominal pain or gastrointestinal hemorrhage or as a pulsatile abdominal mass accompanied by bruit. 3,8) As in this case, obstructive jaundice is an extremely rare clinical symptom of hepatic artery pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

“…These treatment options depend on the presentation of the patient and location of the aneurysm. 3) We herein describe a case of a giant pseudoaneurysm of the common hepatic artery in a patient who presented with abdominal pain and extrahepatic biliary obstruction without bleeding.…”

Section: Introductionmentioning

confidence: 99%

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Hepatic Artery Pseudoaneurysm with Extrahepatic Biliary Obstruction

Shiraishi

Takahashi

Yamaguchi

et al. 2012

Annals of Vascular Diseases

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Hepatic artery pseudoaneurysms are a rare complication of chronic pancreatitis. However, giant pseudoaneurysms (80 mm) and complicated biliary obstructions are extremely rare. This article reports a 75 year-old man with chronic pancreatitis that presented as upper abdominal pain and obstructive jaundice. Computed tomography revealed a hepatic artery pseudoaneurysm measuring 80 × 72 × 70 mm. We performed aneurysm resection and common hepatic artery bypass, using a great saphenous vein graft in the patient. The postoperative course was uneventful, and he was discharged on the 10th postoperative day. However, on the 135th postoperative day, he died of massive hemorrhage into the peritoneal cavity.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Hepatic Artery Pseudoaneurysm with Extrahepatic Biliary Obstruction

Shiraishi

Takahashi

Yamaguchi

et al. 2012

Annals of Vascular Diseases

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“…The choice of the procedure depends on the involved artery, the localization of the pseudoaneurysm, general condition of the patient, the urgency of intervention, the risk of organ ischemia after the intervention, and the experience of the physician [34, 37]. Review of the literature shows that endovascular treatment offers a good and less invasive alternative to conventional surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Visceral artery pseudoaneurysms: two case reports and a review of the literature

Abdelgabar

d'Archambeau

et al. 2017

J Med Case Reports

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BackgroundVisceral artery pseudoaneurysms are relatively rare but have a high mortality rate in case of rupture. Their detection in the last decades is rising due to an increased use of computed tomography and angiography. However, due to the nonspecific nature of the clinical symptoms and signs, diagnosis is often delayed or missed. We describe two cases of patients presenting with nonspecific abdominal complaints and anemia leading to a diagnosis of visceral pseudoaneurysm. Both cases are successfully treated with a different endovascular intervention.Case presentationThe first case is a 67-year-old Caucasian man presenting with diffuse abdominal pain, vomiting, diarrhea, and weight loss. Digital angiography showed a complex pseudoaneurysm of the superior mesenteric artery. The patient was treated with stent placement and selective embolization of the afferent branches.The second patient is a 78-year-old Caucasian man with a history of chronic pancreatitis admitted with epigastric pain, rectal bleeding and melena. Angiography showed a pseudoaneurysm of the gastroduodenal artery. The patient was successfully treated with coil embolization.ConclusionsWe report two cases of visceral pseudoaneurysms and review the literature concerning etiology, presentation, diagnosis, and treatment.Visceral artery pseudoaneurysms should be considered in the differential diagnosis of a patient with nonspecific abdominal symptoms. Diagnosis is often made with computed tomography or computed tomography angiography but digital angiography remains the gold standard. Treatment options include surgical, endovascular or percutaneous interventions. The choice of treatment is case specific.

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“…1,2 Congenital abnormalities contributing to GDA aneurysms include Marfan and EhlerseDanlos syndromes and conditions associated with liver cirrhosis, fibromuscular dysplasia, polyarteritis nodosa, and septic emboli have been reported. 3 We have reviewed recent case reports of GDA from 2000 to 2014 and summarized pertinent findings 1,2,4e17 (Table I).…”

Section: E2 Case Reportsmentioning

confidence: 99%