Abstract
Celiac artery aneurysm is rare disease, but when ruptured it causes critical events such as shock. We report a case of saccular aneurysm of celiac artery operated with aneurysmectomy. A man with a symptom of abdominal pain was found to have the aneurysm by computed tomography. He was 50-year-old, and had received gastrectomy for a duodenal ulcer when he was 17. The laboratory data were almost normal with the exception of positive skin reaction to tuberculin. Gallium scan showed accumulation at the site of the aneurysm. The operation was performed under laparotomy, the celiac artery was ligated at its origin, and then the aneurysm was resected. A bypass using saphenous vein was done from the infra-renal aorta to the splenic artery and common hepatic artery. The resected aneurysm was 23 mm in diameter, and had arterial dissection. In cases of celiac artery aneurysm, it is important to consider the exact diagnosis, to select most effective therapy, and, if surgery is indicated, to perform most suitable operative procedure.
