Salomon du Mont Lucie, Lorandon Fanny, Behr Julien, Leclerc Betty, Ducroux Emilie, Rinckenbach Simon
Department of Vascular Surgery, University Hospital of Besancon, Besancon, France; Unité de recherche, EA3920, University Hospital of Besancon, Besancon, France.
Department of Vascular Surgery, University Hospital of Besancon, Besancon, France.
Ann Vasc Surg. 2017 Aug;43:310.e13-310.e16. doi: 10.1016/j.avsg.2017.05.007. Epub 2017 May 20.
Pancreaticoduodenal artery aneurysms (PDAAs) are rare, but rupture can occur at any time regardless of the size. We describe here the case of 53-year-old woman who presented with a ruptured PDAA associated with compression of the celiac trunk by the median arcuate ligament. We first performed revascularization of the celiac trunk without intervening on the PDAA because of surgically hostile conditions. We observed complete regression of the PDAA, probably due to the dramatic decrease in inflow to the PDAA, thanks to the revascularization procedure. This prompted us to cancel the secondary endovascular embolization. The patient remained asymptomatic at 3 months.
胰十二指肠动脉瘤（PDAAs）较为罕见，但无论大小，随时都可能破裂。我们在此描述一名53岁女性的病例，该患者出现了破裂的胰十二指肠动脉瘤，并伴有正中弓状韧带对腹腔干的压迫。由于手术条件不利，我们首先对腹腔干进行了血运重建，而未对胰十二指肠动脉瘤进行干预。我们观察到胰十二指肠动脉瘤完全消退，这可能是由于血运重建手术导致流入胰十二指肠动脉瘤的血流显著减少。这促使我们取消了二次血管内栓塞术。患者在3个月时仍无症状。
