Transcatheter arterial embolization in three patients with ruptured inferior pancreaticoduodenal artery aneurysms

Abstract

We report three patients with inferior pancreaticoduodenal artery (IPDA) aneurysm rupture. The patients include a 76-year-old man, a 53-year-old woman, and a 63-year-old man. In all patients, median arcuate ligament syndrome caused rupture of an IPDA aneurysm. With rapid diagnosis using contrast enhanced computed tomography scans, all patients were managed effectively with transcatheter arterial embolization (TAE) without delay. Two patients were complicated by duodenal stenosis due to retroperitoneal hematomas. Duodenal stenosis should be considered in patients with IPDA rupture. We propose careful resumption of oral intake after treatment.