Obstructive jaundice caused by pancreaticoduodenal artery aneurysms associated with celiac axis stenosis: case report and review of the literature

Annals of Vascular Surgery
Tiansheng YinDewei Li

Abstract

Pancreaticoduodenal artery aneurysm (PDA) is quite rare, which accounts for only approximate 2% of all visceral aneurysms. Besides, PDA is usually related to celiac axis stenosis (CAS) and prone to rupture. Advanced imaging examination can facilitate the disclosure of such peripancreatic masses, but most of them were seldom diagnosed until they rupture because of the nonspecific symptoms. Secondary to PDA, obstructive jaundice is however an extremely rare manifestation. A case of an 84-year-old man is reported here, who suffered from severe jaundice caused by a ruptured PDA associated with CAS. In addition, this review collects and organizes PDAs with jaundice by applying a MEDLINE search and discusses the pathogenesis and therapeutic options of these aneurysms leading to external compression over the bile duct. Consequently, the formation of PDA with obstructive jaundice is based on the specific anatomy of pancreaticoduodenal arcades. When there is a retroperitoneal mass around the head of the pancreas associated with unexpected jaundice, PDA should be considered, for which early aggressive therapy is required. The case report and literature review suggest that PDA associated with obstructive jaundice may be treated successful...Continue Reading

References

Sep 1, 1985·Journal of Vascular Surgery·D M GangaharM A Breiner
Jan 1, 1973·Clinical Radiology·D Sutton, G Lawton
Jan 1, 1993·Digestive Diseases and Sciences·K N KhanS Nagataki
Apr 1, 1996·Journal of Vascular Surgery·P S PatyR P Leather
Mar 17, 1999·Annals of Surgery·M de PerrotP Morel
Feb 12, 2000·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·A WidjajaM P Manns
Feb 24, 2000·The Surgical Clinics of North America·P H Lin, E L Chaikof
Mar 22, 2002·Cardiovascular and Interventional Radiology·Toshiro KuroiwaKazuhiro Hayashida
Aug 7, 2004·Journal of Vascular Surgery·Erin MooreEric D Endean
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·D M SheldonD Storey
Jul 22, 2010·The British Journal of Radiology·H TakaoK Ohtomo
Sep 1, 2009·Seminars in Interventional Radiology·Rekha KallamadiSanjeeva P Kalva
Dec 21, 2012·Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques·Marcin BednarekKazimierz Rembiasz
Aug 31, 2013·Annals of Vascular Surgery·Hélène WattezJean-Pierre Chambon

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Citations

Jul 10, 2019·International Angiology : a Journal of the International Union of Angiology·Joel SousaArmando Mansilha

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