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[Celiac artery aneurysm: a case report].

R Ranica1, A Lanzani, F Longhi

  • 1Struttura Complessa di Chirurgia Generale e Vascolare, Azienda Ospedaliera, Ospedale Treviglio Caravaggio, Treviglio, Bergamo. riranica@alice.it

Minerva Chirurgica
|January 24, 2008
PubMed
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This summary is machine-generated.

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A rare celiac trunk aneurysm was successfully repaired using a Dacron graft. This case highlights a rare presentation and surgical management of celiac artery aneurysms.

Area of Science:

  • Vascular Surgery
  • Gastroenterology

Background:

  • Celiac trunk aneurysms are exceptionally rare vascular abnormalities.
  • Accidental discovery during imaging for other conditions is common.

Observation:

  • A case of an asymptomatic celiac trunk aneurysm found during abdominal CT for hepatic cirrhosis staging.
  • Surgical intervention involved aneurysmectomy and reconstruction with a Dacron prosthetic graft.

Findings:

  • The procedure successfully preserved the three main arteries branching from the celiac trunk: left gastric, hepatic, and splenic.
  • Histological analysis revealed medial degeneration with loss of elastic fibers and atherosclerotic changes.
  • Postoperative complications included hepatic ascites and severe renal insufficiency, which improved with management.

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Implications:

  • Successful surgical repair of rare celiac trunk aneurysms is feasible.
  • Prosthetic graft reconstruction can maintain patency of essential visceral arteries.
  • Management of postoperative complications is crucial for patient recovery.