Two Patients with Ruptured Posterior Inferior Pancreaticoduodenal Artery Aneurysms Associated with Compression of the Celiac Axis by the Median Arcuate Ligament

Aya Takase; Nobuhiro Akuzawa; Takashi Hatori; Kunihiko Imai; Yonosuke Kitahara; Jun Aoki; Masahiko Kurabayashi

doi:10.3400/avd.cr.13-00105

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Two Patients with Ruptured Posterior Inferior Pancreaticoduodenal Artery Aneurysms Associated with Compression of the Celiac Axis by the Median Arcuate Ligament

Aya Takase, Nobuhiro Akuzawa, Takashi Hatori, Kunihiko Imai, Yonosuke Kitahara, Jun Aoki, Masahiko Kurabayashi

著者情報

キーワード: celiac axis stenosis, median arcuate ligament, pancreaticoduodenal artery aneurysm

ジャーナルフリー早期公開

論文ID: cr.13-00105

DOI https://doi.org/10.3400/avd.cr.13-00105

この記事には本公開記事があります。

The final version of this article is now available: Vol. 7 (2014), No. 1 pp. 87-92

詳細

抄録

Patients with compression of the celiac axis by the median arcuate ligament may develop aneurysms in the pancreaticoduodenal arcades. We experienced two cases of ruptured pancreaticoduodenal artery aneurysm associated with this condition. Both patients presented with abdominal pain and shock, and abdominal contrast-enhanced computed tomography showed retroperitoneal hematoma and compression of the celiac axis by the median arcuate ligament. Both patients were successfully treated by coil embolization. Patients with celiac axis compression or stenosis may develop recurrent aneurysms unless revascularization of the celiac axis is performed. Long-term follow-up is required because aneurysms may develop after 10 years or longer.

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