两名患有胰十二指肠后下动脉动脉瘤破裂的患者，伴有正中弓状韧带对腹腔干的压迫。
Two patients with ruptured posterior inferior pancreaticoduodenal artery aneurysms associated with compression of the celiac axis by the median arcuate ligament.
作者信息
Takase Aya, Akuzawa Nobuhiro, Hatori Takashi, Imai Kunihiko, Kitahara Yonosuke, Aoki Jun, Kurabayashi Masahiko
机构信息
Department of Internal Medicine, Social Insurance Gunma Chuo General Hospital, Maebashi, Gunma, Japan.
Department of Radiology, Social Insurance Gunma Chuo General Hospital, Maebashi, Gunma, Japan.
出版信息
Ann Vasc Dis. 2014;7(1):87-92. doi: 10.3400/avd.cr.13-00105. Epub 2014 Feb 4.
Abstract
Patients with compression of the celiac axis by the median arcuate ligament may develop aneurysms in the pancreaticoduodenal arcades. We experienced two cases of ruptured pancreaticoduodenal artery aneurysm associated with this condition. Both patients presented with abdominal pain and shock, and abdominal contrast-enhanced computed tomography showed retroperitoneal hematoma and compression of the celiac axis by the median arcuate ligament. Both patients were successfully treated by coil embolization. Patients with celiac axis compression or stenosis may develop recurrent aneurysms unless revascularization of the celiac axis is performed. Long-term follow-up is required because aneurysms may develop after 10 years or longer.
摘要
正中弓状韧带压迫腹腔干的患者可能会在胰十二指肠动脉弓处形成动脉瘤。我们遇到了两例与这种情况相关的胰十二指肠动脉动脉瘤破裂病例。两名患者均表现为腹痛和休克，腹部增强计算机断层扫描显示腹膜后血肿以及正中弓状韧带对腹腔干的压迫。两名患者均通过弹簧圈栓塞成功治疗。除非对腹腔干进行血运重建，否则腹腔干受压或狭窄的患者可能会出现复发性动脉瘤。需要长期随访，因为动脉瘤可能在10年或更长时间后发生。
相似文献
1
Two patients with ruptured posterior inferior pancreaticoduodenal artery aneurysms associated with compression of the celiac axis by the median arcuate ligament.
Ann Vasc Dis. 2014;7(1):87-92. doi: 10.3400/avd.cr.13-00105. Epub 2014 Feb 4.
2
Ruptured Pancreaticoduodenal Artery Aneurysms Associated with Celiac Stenosis Caused by the Median Arcuate Ligament: A Poorly Known Etiology of Acute Abdominal Pain.
Eur J Vasc Endovasc Surg. 2016 Feb;51(2):295-301. doi: 10.1016/j.ejvs.2015.10.025. Epub 2015 Dec 8.
3
Pancreaticoduodenal artery aneurysms secondary to median arcuate ligament syndrome may not need celiac artery revascularization or ligament release.
Ann Vasc Surg. 2015 Jan;29(1):122.e1-7. doi: 10.1016/j.avsg.2014.05.020. Epub 2014 Jun 12.
4
Pancreaticoduodenal artery aneurysms associated with celiac axis stenosis due to compression by median arcuate ligament and celiac plexus.
J Gastroenterol. 1998 Jun;33(3):434-8. doi: 10.1007/s005350050109.
5
Median arcuate ligament resection for a patient with ruptured pancreaticoduodenal artery aneurysm: A case report.
Int J Surg Case Rep. 2023 May;106:108041. doi: 10.1016/j.ijscr.2023.108041. Epub 2023 Mar 25.
6
Multiple Pancreatoduodenal Artery Arcade Aneurysms Associated with Celiac Axis Root Segmental Stenosis Presenting as Aneurysm Rupture.
Ann Vasc Surg. 2015 Nov;29(8):1657.e1-7. doi: 10.1016/j.avsg.2015.05.020. Epub 2015 Jul 11.
7
Ruptured pancreaticoduodenal artery aneurysm presenting with duodenal obstruction.
Radiol Case Rep. 2019 Mar 5;14(5):568-571. doi: 10.1016/j.radcr.2019.02.002. eCollection 2019 May.
8
Simultaneous coil embolization and angioplasty using a self-expanding nitinol stent to treat pancreaticoduodenal artery aneurysms associated with celiac artery stenosis.
Acta Radiol. 2013 Oct;54(8):949-53. doi: 10.1177/0284185113488577. Epub 2013 May 16.
9
Median arcuate ligament syndrome presenting as hemorrhagic shock.
Am J Emerg Med. 2013 Jul;31(7):1152.e1-4. doi: 10.1016/j.ajem.2013.02.030. Epub 2013 May 18.
10
Laparoscopic treatment of celiac axis compression by the median arcuate ligament and endovascular repair of a pancreaticoduodenal artery aneurysm: case report.
J Vasc Bras. 2018 Jul-Sep;17(3):252-256. doi: 10.1590/1677-5449.000118.
引用本文的文献
1
Spontaneous complete regression of pancreaticoduodenal artery aneurysms with celiac artery occlusion after aorto-splenic bypass without additional treatment: a case report.
Surg Case Rep. 2024 Apr 8;10(1):80. doi: 10.1186/s40792-024-01880-3.
2
Median arcuate ligament syndrome with retroperitoneal haemorrhage: A case report.
World J Clin Cases. 2022 Jul 26;10(21):7509-7516. doi: 10.12998/wjcc.v10.i21.7509.
3
Resection and reconstruction of pancreatic artery aneurysms caused by the compression of the celiac trunk by the median arcuate ligament: a report of two cases.
Surg Case Rep. 2021 Jul 16;7(1):167. doi: 10.1186/s40792-021-01247-y.
4
Laparoscopic treatment of median arcuate ligament syndrome without ganglionectomy of the celiac plexus in the hybrid operating room: Report of a case.
Int J Surg Case Rep. 2021 Apr;81:105840. doi: 10.1016/j.ijscr.2021.105840. Epub 2021 Mar 26.
5
Multidetector Computed Tomographic Angiography for Optimal Cartography of the Visceral Abdominal Arterial Network: An Extensive Pictorial Review with Emphasis on Common and Uncommon Collateral Pathways, Complications and some Specific Syndromes.
J Belg Soc Radiol. 2017 Feb 1;101(1):6. doi: 10.5334/jbr-btr.1203.
6
Hemodynamic benefits of celiac artery release for ruptured right gastric artery aneurysm associated with median arcuate ligament syndrome: a case report.
BMC Surg. 2017 Nov 28;17(1):116. doi: 10.1186/s12893-017-0320-0.
7
Ruptured pancreaticoduodenal artery aneurysm associated with median arcuate ligament compression and aortic dissection successfully treated with embolotherapy.
Ann Vasc Dis. 2015;8(1):40-2. doi: 10.3400/avd.cr.14-00117. Epub 2015 Mar 9.
本文引用的文献
1
Median arcuate ligament syndrome presenting as hemorrhagic shock.
Am J Emerg Med. 2013 Jul;31(7):1152.e1-4. doi: 10.1016/j.ajem.2013.02.030. Epub 2013 May 18.
2
Inferior pancreaticoduodenal artery aneurysms associated with occlusive lesions of the celiac axis: diagnosis, treatment options, outcomes, and review of the literature.
Cardiovasc Intervent Radiol. 2013 Jun;36(3):578-87. doi: 10.1007/s00270-012-0473-2. Epub 2012 Nov 14.
3
Celiac artery dissection seen with ruptured pancreaticoduodenal arcade aneurysms in two cases of celiac artery stenosis from compression by median arcuate ligament.
J Vasc Surg. 2012 Oct;56(4):1114-8. doi: 10.1016/j.jvs.2012.04.041. Epub 2012 Jul 13.
4
Laparoscopic versus open celiac ganglionectomy in patients with median arcuate ligament syndrome.
J Vasc Surg. 2010 Nov;52(5):1283-9. doi: 10.1016/j.jvs.2010.05.083. Epub 2010 Jul 13.
5
Median arcuate ligament syndrome: open celiac artery reconstruction and ligament division after endovascular failure.
J Vasc Surg. 2007 Oct;46(4):799-802. doi: 10.1016/j.jvs.2007.05.049.
6
Analysis of five cases of splanchnic artery aneurysm associated with coeliac artery stenosis due to compression by the median arcuate ligament.
Clin Radiol. 2007 Jul;62(7):688-93. doi: 10.1016/j.crad.2007.02.002. Epub 2007 Apr 30.
7
Coil embolization of pancreaticoduodenal artery aneurysms associated with celiac artery stenosis: report of three cases.
Cardiovasc Intervent Radiol. 2007 May-Jun;30(3):504-7. doi: 10.1007/s00270-006-0083-y.
8
Management of pancreaticoduodenal artery aneurysms: results of superselective transcatheter embolization.
AJR Am J Roentgenol. 2006 Sep;187(3):W290-8. doi: 10.2214/AJR.04.1726.
9
Emergency embolization of a ruptured pancreaticoduodenal artery aneurysm associated with the median arcuate ligament syndrome.
J Gastroenterol Hepatol. 2004 Apr;19(4):482-3. doi: 10.1111/j.1440-1746.2004.03385.x.
10
Embolization in a patient with ruptured anterior inferior pancreaticoduodenal arterial aneurysm with median arcuate ligament syndrome.
Cardiovasc Intervent Radiol. 2002 Jul-Aug;25(4):318-9. doi: 10.1007/s00270-001-0109-4. Epub 2002 May 20.
Zotero 插件