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Gastrointestinal bleeding due to pseudoaneurysms in children.
Eur J Pediatr
January 2022
Department of Pediatric Gastroenterology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Raebareily Road, Lucknow, 226014, Uttar Pradesh, India.
Radiological embolization is the treatment of choice in adults with visceral artery pseudoaneurysm (PSA) and gastrointestinal bleeding, but pediatric data is scanty. We analyzed the etiology, clinical presentation, and outcome of radiological intervention in children with PSA of celiac (CA) or superior mesenteric artery (SMA) branches. Electronic records of children with PSA of CA or SMA branches were reviewed and data on clinical and laboratory profile, radiological intervention, and outcome was recorded.
View Article and Find Full Text PDFImaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome.
SA J Radiol
January 2021
Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco.
Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome.
View Article and Find Full Text PDFInferior Pancreatico-Duodenal Artery Aneurysm with Superior Mesenteric Artery Stenosis.
J Gastrointestin Liver Dis
March 2020
Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca; Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Pancreatico-duodenal artery aneurysm (PDAA) associated with stenosis or occlusion of the celiac trunk is a rare condition. Furthermore, PDAAs associated with stenosis of the superior mesenteric artery (SMA) are even more uncommon, with only six cases reported in the literature. We report a case of a 61-year old male patient who presented with hematemesis, haematochezia and haemorrhagic shock.
View Article and Find Full Text PDFAorto-hepatic bypass graft for repair of an inferior pancreatico-duodenal artery aneurysm associated with coeliac axis occlusion: A case report.
Int J Surg Case Rep
September 2016
Department of Hepatobilliary and Pancreatic Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 2QQ, UK. Electronic address:
Introduction: Inferior pancreatico-duodenal artery (IPDA) aneurysms are very rare and commonly associated with coeliac axis stenosis or occlusion due to atherosclerosis, thrombosis or median arcuate ligament syndrome. We present a case of a surgical repair of an IPDA aneurysm with the use of a supra-coeliac aorto-hepatic bypass with a polytetrafluoroethylene (PTFE) graft, following a failed initial attempt at an endovascular repair.
Presentation: A 75 year old female, who was under investigation for night sweats, was referred to our team with an incidental finding of a 19mm fusiform IPDA aneurysm.
A rare case of aneurysm of arc of riolan artery and gastroduodenal artery.
J Clin Imaging Sci
January 2015
Department of Radiology, Sri Ramachandra University, Chennai, Tamil Nadu, India.
Arc of Riolan is a collateral channel that connects the proximal superior mesenteric artery (SMA) or its middle colic branch and the proximal inferior mesenteric artery or its left colic branch in case of stenosis of either of the arteries. A 65-year-old diabetic female presented with vague abdominal pain. Ultrasonography showed a large aneurysm within the abdomen in the left lumbar region.
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