Ruptured pancreaticoduodenal artery aneurysm with acute gangrenous cholecystitis: A case report and review of the literature

Hiroya Takeuchi, Yoh Isobe, Maya Hayashi, Takashi Matsui, Takayuki Kinoshita, Atsushi Shimada, Mitsuo Miyazawa, Takashi Oishi, Shunji Ikeuchi, Kiyoshi Kubochi, Shingo Shima

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

We have experienced a very rare case of ruptured pancreaticoduodenal artery aneurysm with acute gangrenous cholecystitis. A 67-year-old male complaining of epigastralgia was admitted to our hospital. Ultrasound sonography demonstrated acute cholecystitis and cholecystolithiasis. Computed tomography scan showed the findings of acute cholecystitis and retroperitoneal mass. Emergency laparotomy revealed an acute gangrenous cholecystitis and a retroperitoneal hematoma around the second portion of the duodenum. Cholecystectomy was performed, however, the bleeding vessel was not identified. The patient bled again from the abdomen on the 6th postoperative day. A postoperative angiography indicated an inferior pancreaticoduodenal artery aneurysm. A resection of the aneurysm was performed following the angiography. Pancreaticoduodenal artery aneurysms are uncommon and ruptured pancreaticoduodenal artery aneurysms result in fatal hemorrhage and high mortality. We reviewed the previously reported cases and discussed the suitable and expeditious diagnosis and management of the pancreaticoduodenal artery aneurysms.

Original languageEnglish
Pages (from-to)368-371
Number of pages4
JournalHepato-gastroenterology
Volume51
Issue number56
Publication statusPublished - 2004 Mar 1

Keywords

  • Acute cholecystitis
  • Cholecystolithiasis
  • Pancreaticoduodenal artery aneurysm

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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    Takeuchi, H., Isobe, Y., Hayashi, M., Matsui, T., Kinoshita, T., Shimada, A., Miyazawa, M., Oishi, T., Ikeuchi, S., Kubochi, K., & Shima, S. (2004). Ruptured pancreaticoduodenal artery aneurysm with acute gangrenous cholecystitis: A case report and review of the literature. Hepato-gastroenterology, 51(56), 368-371.