2018 Volume 38 Issue 4 Pages 753-756
A 51-years-old man who was on medication presented at our hospital because of stomachache. Enhanced computed tomography revealed blood extravasation at the ventral part of the third portion of the duodenum, a giant hematoma at the retroperitoneal area and a hooked appearance of the celiac artery. Angiography revealed an aneurysm of the inferior pancreaticoduodenal artery. We were however unable to cannulate because complication with collateral circulation had developed. The patient was diagnosed as having a ruptured aneurysm of the inferior pancreaticoduodenal artery caused by median arcuate ligament compression syndrome and emergency surgery was performed. We found an aneurysm at the ventral portion of pancreas head and resected it. Arterial pulse obviously strengthened after we incised the median arcuate ligament. Postoperatively, the patient needed drainage treatment because of residual hematoma infection. The patient was discharged without any critical complication. We report herein on a case of a ruptured aneurysm of the inferior pancreaticoduodenal artery caused by median arcuate ligament compression syndrome.
