Visceral artery aneurysms are well described in the surgical literature. Specifically, inferior pancreaticoduodenal artery aneurysms are exceedingly rare and only minimal data are available to guide management decisions. In the majority of published case reports surgical therapy or angiographic intervention is recommended. This is a case report of a ruptured inferior pancreaticoduodenal artery aneurysm associated with complete occlusion of the superior mesenteric artery, precluding surgical or angiographic intervention. A review of the literature and the rationale for nonoperative, medical management of this uncommon surgical entity is the subject of this article.
Blair FL, Yeager WR: Aneurysm of superior pancreaticoduodenal artery: Case report. Am Surg32:53-56, 1966.
3.
Kelley HG, Knoernschild HE, Marable SA: Aneurysms of the pancreaticoduodenal arteries. A review of the literature and case report. Am J Surg107:644-646, 1964.
4.
Chiou AC, Josephs LG, Menzoian JO: Inferior pancreaticoduodenal artery aneurysm: Report of a case and review of the literature. J Vasc Surg17:784-789, 1993.
5.
Gangahar DM, Carveth SW, Reese HE, et al: True aneurysm of the pancreaticoduodenal artery: A case report and review of the literature. J Vasc Surg2:741-742, 1985.
6.
West JE, Bernhardt H., Bowers RF: Aneurysms of the pancreaticoduodenal artery. Am J Surg115:835-839, 1968.
7.
Taylor Ajn, Hershman MJ, Hadjiminas D., et al: Pancreaticoduodenal artery aneurysm: Diagnostic and management difficulties. J R Soc Med86:356-357, 1993.
Scheflan M., Kadir S., Athanasoulis CA, et al: Pancreaticoduodenal artery aneurysm simulating carcinoma of the head of the pancreas. Arch Surg112:1201-1203, 1977.
10.
Spanos PK, Kloppedal EA, Murray CA: Aneurysms of the gastroduodenal and pancreaticoduodenal arteries. Am J Surg127:345-348, 1974.
11.
Hasselgren PO, Rottier A.: Aneurysm of the pancreaticoduodenal artery. A case report. Acta Chir Scand142:543-544, 1976.
12.
Mandel SR, Jaques PF, Mauro MA, et al: Nonoperative management of peripancreatic arterial aneurysms. A 10-year experience. Ann Surg205:126-128, 1987.
13.
Teich S., Tsangaris N., Giordano J., et al: Mycotic aneurysm of the inferior pancreaticoduodenal artery: Successful nonoperative management. South Med J82:267-269, 1989.
14.
Harbin S., Rosenthal D., Fuller T., et al: Pancreaticoduodenal artery aneurysm: Non-operative management . J Med Assoc Georgia72:627-628, 1983.
15.
Verta MJ, Dean RH, Yao Jst, et al: Pancreaticoduodenal arterial aneurysms. Ann Surg186:111-114, 1977.
16.
Davies N., Adamson A., Johnson CD: Recurrent pancreatitis in the presence of a visceral artery aneurysm. J R Soc Med84:235-236, 1991.
17.
Grech P., Rowlands P., Crofton M.: Aneurysm of the inferior pancreaticoduodenal artery diagnosed by real-time ultrasound and pulsed Doppler. Br J Rad62:753-755, 1989.
