Abstract
We report on a case of ruptured aneurysm of the posterior superior pancreaticoduodenal artery (PSPDA). A 70-year-old man visited the emergency room at our hospital with abdominal pain and vomiting. Computed tomography (CT) of the abdomen showed hemorrhagic ascites around the liver and the retroperitoneal cavity. Emergency angiography revealed 2 aneurysms in the PSPDA; therefore, embolization was immediately performed. The patient was then treated conservatively. His general condition improved, and he was discharged on the 13th day after admission. In the treatment of a ruptured aneurysm of the pancreaticoduodenal artery, transarterial embolization (TAE) is the first treatment of choice after diagnosis because it is less invasive than operative treatment. Here, we report on a case in which application of TAE for a PSPDA aneurysm rupture saved the patient's life. We also review 98 cases reports on pancreaticoduodenal artery (PDA) aneurysms and the treatment for them in the Japanese literature.
