True aneurysms of the inferior pancreaticoduodenal artery (IPDA) are rare. Nearly half present with rupture. Stenosis or occlusion of the celiac axis is well recognized in association with IPDA aneurysm. The authors report a case of nonruptured IPDA aneurysm that presented with postprandial abdominal pain. Arteriography revealed celiac axis occlusion. The patient was successfully managed by aortohepatic bypass and aneurysm exclusion.
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References
1.
1. Stanley JC, Messina LM, Zelenock GB: Splanchnic and renal artery aneurysms. In: Vascular Surgery: A Comprehensive Review, ed. by Moore W.Philadelphia: WB Saunders, 1993, pp 435-450.
2.
2. Quandalle P, Chambon JP, Marache P, et al: Pancreaticoduodenal artery aneurysms associated with celiac axis stenosis: Report of two cases and review of the literature. Ann Vasc Surg4:540-545, 1990.
3.
3. 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.
4.
4. Iyomasa S, Matsuzaki Y, Hiei K, et al: Pancreaticoduodenal artery aneurysm: A case report and review of the literature. J Vasc Surg22:161-166, 1995.
5.
5. Sutton D, Lawton G: Celiac stenosis or occlusion with aneurysm of the collateral supply. Clin Radiol24:49-53, 1973.
6.
6. Proud G, Chamberlain J: Aneurysm formation of the small pancreatic arteries in association with coeliac axis compression. Ann R Coll Surg Engl1:173-177, 1978.
7.
7. Spanos PK, Kloppedal EA, Murray CA III: Aneurysms of the gastroduodenal and pancreaticoduodenal arteries. Am J Surg127:345-348, 1974.
8.
8. Samson I: Successful resection of an aneurysm of the pancreaticoduodenal artery. Vasc Surg15:157-162, 1981.
9.
9. Scheflan M, Kadir S, Athanasoulis C, et al: Pancreaticoduodenal artery aneurysm simulating carcinoma of the head of the pancreas. Arch Surg112:1201-1203, 1977.
10.
10. de Virgilio C, Stabile B: Chronic intestinal ischemic syndrome. In: Consultations in Gastroenterology, ed. by Snape WJ Jr.Philadelphia, WB Saunders, 1996, pp 433-437.
