2013 Volume 33 Issue 7 Pages 1169-1172
A 66-year-old woman complaining of abdominal pain was transported to our hospital with a diagnosis of retroperitoneal hematoma. Contrast-enhanced computed tomography of the abdomen showed a retroperitoneal hematoma around the pancreas head. An angiogram revealed that there was an aneurysm 10 mm in diameter in the anterior inferior pancreaticoduodenal artery (AIPDA). The gastroduodenal artery (GDA) and the AIPDA were supplied from the superior mesenteric artery. A diagnosis was made of a ruptured AIPDA aneurysm due to celiac artery compression by the median arcuate ligament. Transcatheter embolization of the aneurysm was performed followed by the surgical decompression of the celiac artery. The patient is currently doing well with no sign of recurrence of the aneurysm.
